Provider Demographics
NPI:1093289423
Name:JAMES R MULARCZYK DDS PLLC
Entity Type:Organization
Organization Name:JAMES R MULARCZYK DDS PLLC
Other - Org Name:KEEP SMILING DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MULARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:978-549-8599
Mailing Address - Street 1:9466 FOX RUN
Mailing Address - Street 2:
Mailing Address - City:BERRIEN CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49102-8710
Mailing Address - Country:US
Mailing Address - Phone:978-549-8599
Mailing Address - Fax:
Practice Address - Street 1:5909 RED ARROW HWY
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MI
Practice Address - Zip Code:49127-1145
Practice Address - Country:US
Practice Address - Phone:269-429-6001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-18
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty