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Dr. Dan J Vandermeulen, DDSMS
Endodontist in Portage, Michigan
NPI 1659485464

Dan J Vandermeulen is a Endodontist based in Richland, MI and is specialized in Endodontics. Dan J Vandermeulen practices in Portage, MI and has the professional credentials of DDSMS. The NPI Number for Dan J Vandermeulen is 1659485464 and holds a License No. 10199 (Michigan).

The current practice location address for Dan J Vandermeulen is 8191 Moorsbridge Road, Portage, MI and can be reached out via phone at 269-323-1022 and via fax at 269-323-0702.

Location: 8191 Moorsbridge Road, Portage, MI, 49083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659485464
Provider Name
Dan J Vandermeulen
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
8191 Moorsbridge Road, Portage, MI, 49083
Phone Number
269-323-1022
Fax Number
269-323-0702
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1953960010 01 MI BCBS OF MI FOR MED CLAIMS
institution
Provider Business Practice Location Address Details
Address
8191 Moorsbridge Road
City
Portage
State
Michigan
Zip
49024
Phone Number
269-323-1022
Fax Number
269-323-0702
person
Provider Business Mailing Address Details
Address
8191 Moorsbridge Road
City
Portage
State
Michigan
Zip
49024
Phone Number
269-323-1022
Fax Number
269-323-0702
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
10199 (Michigan)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
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