Provider Demographics
NPI:1477229581
Name:SESSELMANN DENTISTRY, PLLC
Entity Type:Organization
Organization Name:SESSELMANN DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:V
Authorized Official - Last Name:SESSELMANN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:231-750-6046
Mailing Address - Street 1:4382 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4975
Mailing Address - Country:US
Mailing Address - Phone:231-798-3431
Mailing Address - Fax:231-798-3890
Practice Address - Street 1:4382 HENRY ST
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49441-4975
Practice Address - Country:US
Practice Address - Phone:231-798-3431
Practice Address - Fax:231-798-3890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental