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John P. Marconnit D.d.s., P.c.
Non-Pharmacy Dispensing Site in Lewiston, Michigan
NPI 1841315090

John P. Marconnit D.d.s., P.c. is a Non-Pharmacy Dispensing Site based in Lewiston, MI. John P. Marconnit D.d.s., P.c. practices in Lewiston, MI. The NPI Number for John P. Marconnit D.d.s., P.c. is 1841315090 and holds a License No. 13005 (Michigan).

The current practice location address for John P. Marconnit D.d.s., P.c. is 3051 Bay Street, Lewiston, MI and can be reached out via phone at 989-786-2104 and via fax at 989-786-4163.

Location: 3051 Bay Street, Lewiston, MI, 49756-0170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841315090
Provider Name
John P. Marconnit D.d.s., P.c.
Credential
Provider Entity Type
Organization
Address
3051 Bay Street, Lewiston, MI, 49756-0170
Phone Number
989-786-2104
Fax Number
989-786-4163
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3051 Bay Street
City
Lewiston
State
Michigan
Zip
49756-0170
Phone Number
989-786-2104
Fax Number
989-786-4163
person
Provider Business Mailing Address Details
Address
3051 Bay Street
City
Lewiston
State
Michigan
Zip
49756-0170
Phone Number
989-786-2104
Fax Number
989-786-4163
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Dental Laboratory
Speciality
-
Taxonomy
292200000X
License No.
()
Definition
A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
13005 (Michigan)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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