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Contact Information

JACK L MEDEMAR, DDS PC
G 4221 CORUNNA ROAD
FLINT, MI48532
 Phone: 810-732-8020
 Fax: 810-732-9356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JACK L MEDEMAR · (Male)

NPI # 1003877952
Status Active
Credentials DDS PC
Entity Individual
Enumeration date 03/30/2006
Last updated 04/11/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 13484
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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