Healthcare Provider Details

I. General information

NPI: 1386232668
Provider Name (Legal Business Name): CHELSEA KLIPFEL, D.D.S., P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 01/04/2021
Certification Date: 01/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 E BEECH ST
FRUITPORT MI
49415-9210
US

IV. Provider business mailing address

40 E BEECH ST
FRUITPORT MI
49415-9210
US

V. Phone/Fax

Practice location:
  • Phone: 231-865-6141
  • Fax: 231-865-6198
Mailing address:
  • Phone: 231-865-6141
  • Fax: 231-865-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHELSEA L KLIPFEL
Title or Position: OWNER, DENTIST
Credential: DDS
Phone: 231-865-6141