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General NPI Number Information
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NPI Number | 1801007455
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Entity Type | Organization
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Legal Business Name | JOHN P MCREE, D.D.S.,. L.L.C.
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17088 ROBBINS RD
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City | GRAND HAVEN
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State | MI
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Zip | 49417-2791
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Country | US
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Telephone | 616-842-2960
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Fax | 616-842-8550
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Provider Business Mailing Address
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Address Line | 3555 PRATT LAKE AVE SE
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City | LOWELL
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State | MI
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Zip | 49331-9376
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Country | US
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Telephone | 616-897-4807
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Fax | 616-842-2960
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN PATRICK MCREE
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Credential | DDS
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Telephone | 616-842-2960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901014870
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License Number State | MI
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