Provider Demographics
NPI:1144775248
Name:GETZ DENTAL PLLC
Entity Type:Organization
Organization Name:GETZ DENTAL PLLC
Other - Org Name:DARLENE GETZ, DDS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:BRUNER-GETZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:269-468-5741
Mailing Address - Street 1:213 N PAW PAW ST
Mailing Address - Street 2:PO BOX 568
Mailing Address - City:COLOMA
Mailing Address - State:MI
Mailing Address - Zip Code:49038-9589
Mailing Address - Country:US
Mailing Address - Phone:269-468-5741
Mailing Address - Fax:269-468-4578
Practice Address - Street 1:213 N PAW PAW ST
Practice Address - Street 2:
Practice Address - City:COLOMA
Practice Address - State:MI
Practice Address - Zip Code:49038-9589
Practice Address - Country:US
Practice Address - Phone:269-468-5741
Practice Address - Fax:269-468-4578
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GETZ DENTAL PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-18
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI167611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty