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Dr. Jack Lee Medemar, DDSPC
General Practice Dentistry in Flint, Michigan
NPI 1003877952

Jack Lee Medemar is a General Practice Dentistry based in Flint, MI and is specialized in General Practice. Jack Lee Medemar practices in Flint, MI and has the professional credentials of DDSPC. The NPI Number for Jack Lee Medemar is 1003877952 and holds a License No. 13484 (Michigan).

The current practice location address for Jack Lee Medemar is G 4221 Corunna Road, Flint, MI and can be reached out via phone at 810-732-8020 and via fax at 810-732-9356.

Location: G 4221 Corunna Road, Flint, MI, 48532-4316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003877952
Provider Name
Jack Lee Medemar
Credential
DDSPC
Provider Entity Type
Individual
Gender
Male
Address
G 4221 Corunna Road, Flint, MI, 48532-4316
Phone Number
810-732-8020
Fax Number
810-732-9356
Provider Enumeration Date
03/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
G 4221 Corunna Road
City
Flint
State
Michigan
Zip
48532
Phone Number
810-732-8020
Fax Number
810-732-9356
person
Provider Business Mailing Address Details
Address
G 4221 Corunna Road
City
Flint
State
Michigan
Zip
48532
Phone Number
810-732-8020
Fax Number
810-732-9356
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
13484 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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