Healthcare Provider Details

I. General information

NPI: 1023291044
Provider Name (Legal Business Name): ERIN MARIE PRICE CHARNLEY D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6215 HARVEY ST
NORTON SHORES MI
49444-9739
US

IV. Provider business mailing address

6215 HARVEY ST
NORTON SHORES MI
49444-9739
US

V. Phone/Fax

Practice location:
  • Phone: 616-221-8166
  • Fax: 877-728-0823
Mailing address:
  • Phone: 616-221-8166
  • Fax: 877-728-0823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901019384
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number5315027425
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: