Individual
DR. JACOB T. FLYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5217 N ROYAL DR, TRAVERSE CITY, MI 49684-7827
(231) 929-3606
Mailing address
2312 CHELSEA LN APT 207, TRAVERSE CITY, MI 49685-8841
(248) 804-6903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600961
MI
Other
Enumeration date
06/16/2021
Last updated
03/03/2022
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