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Lonny E Zietz, DDS,MS
Oral and Maxillofacial Surgery (Dentist) in Grand Rapids, Michigan
NPI 1720173529

Lonny E Zietz is a Oral and Maxillofacial Surgery (Dentist) based in Grand Rapids, MI and is specialized in Oral and Maxillofacial Surgery. Lonny E Zietz practices in Grand Rapids, MI and has the professional credentials of DDS,MS. The NPI Number for Lonny E Zietz is 1720173529 and holds a License No. 2901009665 (Michigan).

The current practice location address for Lonny E Zietz is 2140 Lake Michigan Dr Nw, Grand Rapids, MI and can be reached out via phone at 616-791-9600.

Location: 2140 Lake Michigan Dr Nw, Grand Rapids, MI, 49504-4785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720173529
Provider Name
Lonny E Zietz
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
2140 Lake Michigan Dr Nw, Grand Rapids, MI, 49504-4785
Phone Number
616-791-9600
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0D111530 01 MI BCBSM
096650 01 MI BCBSD
institution
Provider Business Practice Location Address Details
Address
2140 Lake Michigan Dr Nw
City
Grand Rapids
State
Michigan
Zip
49504-4785
Phone Number
616-791-9600
Fax Number
person
Provider Business Mailing Address Details
Address
2140 Lake Michigan Dr Nw
City
Grand Rapids
State
Michigan
Zip
49504-4785
Phone Number
616-791-9600
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2901009665 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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