Provider Demographics
NPI:1598881427
Name:LITYNSKI, MAGDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAGDA
Middle Name:
Last Name:LITYNSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 PARK ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444-3736
Mailing Address - Country:US
Mailing Address - Phone:231-733-2981
Mailing Address - Fax:231-733-1472
Practice Address - Street 1:3535 PARK ST
Practice Address - Street 2:SUITE 102
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-3736
Practice Address - Country:US
Practice Address - Phone:231-733-2981
Practice Address - Fax:231-733-1472
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI164571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice