Provider Demographics
NPI:1942900170
Name:TOTAL HEALTH DENTISTRY
Entity Type:Organization
Organization Name:TOTAL HEALTH DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:EPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MSED
Authorized Official - Phone:517-694-0353
Mailing Address - Street 1:2101 AURELIUS RD STE 1
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-1380
Mailing Address - Country:US
Mailing Address - Phone:517-694-0353
Mailing Address - Fax:517-694-2001
Practice Address - Street 1:2101 AURELIUS RD STE 1
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-1380
Practice Address - Country:US
Practice Address - Phone:517-694-0353
Practice Address - Fax:517-694-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty