1700072543 NPI number — MY COMMUNITY DENTAL CENTERS INC

Table of content: MR. MARTIN TUREK RPH (NPI 1538481718)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700072543 NPI number — MY COMMUNITY DENTAL CENTERS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MY COMMUNITY DENTAL CENTERS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700072543
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2940 PARKVIEW DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PETOSKEY
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49770-8795
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
231-437-4741
Provider Business Mailing Address Fax Number:
231-582-2967

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2940 PARKVIEW DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PETOSKEY
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49770-8795
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
231-437-4741
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SCHANER
Authorized Official First Name:
KRISTIN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CREDENTIALING
Authorized Official Telephone Number:
231-437-4741

Provider Taxonomy Codes

  • Taxonomy code: 1223D0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com