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General NPI Number Information
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NPI Number | 1144172305
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Entity Type | Organization
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Legal Business Name | POINTE FAMILY DENTISTRY WASHINGTON
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 65422 VAN DYKE RD STE D
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City | WASHINGTON TWP
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State | MI
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Zip | 48095
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Country | US
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Telephone | 586-803-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 50505 SCHOENHERR RD STE 170
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City | SHELBY TWP
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State | MI
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Zip | 48315
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Country | US
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Telephone | 586-803-8300
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Fax | 586-803-8305
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Authorized Official
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Title or Position | DR PAUL S VAN WALLEGHEM
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Name | PAUL S VAN WALLEGHEM
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Credential | DDS,FAGO,DIPLOMATE
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Telephone | 586-803-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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