Organization
JOHN P. MARCONNIT D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P MARCONNIT D.D.S. (PRESIDENT)
(989) 786-2104
Entity
Organization
Contact information
Practice address
3051 BAY STREET, LEWISTON, MI 49756-0170
(989) 786-2104
(989) 786-4163
Mailing address
PO BOX 170, LEWISTON, MI 49756-0170
(989) 786-2104
(989) 786-4163
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
13005
MI
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
09/11/2025
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