Provider Demographics
NPI:1598874125
Name:VALENTIN, JOSEPH N (DDS)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:N
Last Name:VALENTIN
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 1:6417 MARLETTE ST
Mailing Address - Street 2:
Mailing Address - City:MARLETTE
Mailing Address - State:MI
Mailing Address - Zip Code:48453-1305
Mailing Address - Country:US
Mailing Address - Phone:989-635-3678
Mailing Address - Fax:989-635-3678
Practice Address - Street 1:6417 MARLETTE ST
Practice Address - Street 2:
Practice Address - City:MARLETTE
Practice Address - State:MI
Practice Address - Zip Code:48453-1305
Practice Address - Country:US
Practice Address - Phone:989-635-3678
Practice Address - Fax:989-635-3678
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI077501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice