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Individual

DR. JEFFREY COLLIER KNORR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MSBA

Contact information

Practice address
35050 23 MILE RD, SUITE C, NEW BALTIMORE, MI 48047-3606
(586) 725-2400
(586) 725-2405
Mailing address
50150 HEDGEWAY DR, SHELBY TWP, MI 48317-1829
(586) 242-5721

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901013088
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
970E04300
BCBS-MI
MI
01
D801975
BCBS DENTAL
MI
Enumeration date
08/31/2005
Last updated
09/05/2022
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