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Dr. Ellen Renee Wyant, DMD
General Practice Dentistry in Niles, Michigan
NPI 1144389396

Ellen Renee Wyant is a General Practice Dentistry based in Niles, MI and is specialized in General Practice. Ellen Renee Wyant practices in Niles, MI and has the professional credentials of DMD. The NPI Number for Ellen Renee Wyant is 1144389396 and holds a License No. 2901015477 (Michigan).

The current practice location address for Ellen Renee Wyant is 104 Grant St, Niles, MI and can be reached out via phone at 269-683-1077 and via fax at 269-684-5305.

Location: 104 Grant St, Niles, MI, 49120-2201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144389396
Provider Name
Ellen Renee Wyant
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
104 Grant St, Niles, MI, 49120-2201
Phone Number
269-683-1077
Fax Number
269-684-5305
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4498490 05 MI
institution
Provider Business Practice Location Address Details
Address
104 Grant St
City
Niles
State
Michigan
Zip
49120-2201
Phone Number
269-683-1077
Fax Number
269-684-5305
person
Provider Business Mailing Address Details
Address
104 Grant St
City
Niles
State
Michigan
Zip
49120-2201
Phone Number
269-683-1077
Fax Number
269-684-5305
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901015477 (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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