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Contact Information

AMANDA M DESJARDINS, DDS
205 GROVE ST
MANCELONA, MI49659
 Phone: 231-587-5068
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AMANDA M DESJARDINS · (Female)

NPI Number 1336309889
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/09/2008
Last updated 06/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 2901019777
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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