Individual provider · Type 1 NPI
Jack Lee Medemar, DDS PC
General Practice Dentistry · Flint, MI
NPI number
1003877952
Active
Practice location
G 4221 Corunna Road
Flint, MI 48532
Fax (810) 732-9356
Mailing address
4221 Corunna Rd
Flint, MI 48532-4316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 13484 (MI) |
General Practice Dentistry: 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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About NPI 1003877952
Jack Lee Medemar, DDS PC's National Provider Identifier is 1003877952, issued on Mar 30, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Flint, MI. The record was last updated on Apr 11, 2016.