Provider Demographics
NPI:1083650154
Name:SETSER, DONNIE (DDS)
Entity Type:Individual
Prefix:
First Name:DONNIE
Middle Name:
Last Name:SETSER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-3320
Mailing Address - Country:US
Mailing Address - Phone:989-684-9110
Mailing Address - Fax:989-684-2812
Practice Address - Street 1:1610 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-3320
Practice Address - Country:US
Practice Address - Phone:989-684-9110
Practice Address - Fax:989-684-2812
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010116331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice