Healthcare Provider Details

I. General information

NPI: 1477229581
Provider Name (Legal Business Name): SESSELMANN DENTISTRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4382 HENRY ST
NORTON SHORES MI
49441-4975
US

IV. Provider business mailing address

4382 HENRY ST
NORTON SHORES MI
49441-4975
US

V. Phone/Fax

Practice location:
  • Phone: 231-798-3431
  • Fax: 231-798-3890
Mailing address:
  • Phone: 231-798-3431
  • Fax: 231-798-3890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC V SESSELMANN JR.
Title or Position: DENTIST
Credential: DMD
Phone: 231-750-6046