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General NPI Number Information
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NPI Number | 1316800493
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Entity Type | Organization
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Legal Business Name | NORTHSHORE FAMILY DENTAL PLLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1179 WHITEHALL RD STE A
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City | MUSKEGON
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State | MI
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Zip | 49445-2497
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Country | US
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Telephone | 231-744-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 N BUYS RD
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City | MUSKEGON
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State | MI
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Zip | 49445-1809
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Country | US
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Telephone | 231-215-3890
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | CAITLIN M PARSON
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Credential | DDS
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Telephone | 231-215-3890
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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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