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General NPI Number Information
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NPI Number | 1669326971
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Entity Type | Organization
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Legal Business Name | VANITVELT DENTISTRY, PLLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 6111 S SAGINAW RD
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City | GRAND BLANC
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State | MI
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Zip | 48439-8139
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Country | US
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Telephone | 810-695-5226
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 KINGS BRIDGE RD
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City | GRAND BLANC
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State | MI
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Zip | 48439-8723
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. JACOB VANITVELT
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Credential | DMD
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Telephone | 810-516-6604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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