Provider Demographics
NPI:1982632436
Name:PIPER, MICHELLE LYNNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LYNNE
Last Name:PIPER
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 1:1810 RUDDIMAN DR
Mailing Address - Street 2:A
Mailing Address - City:N MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49445-3172
Mailing Address - Country:US
Mailing Address - Phone:231-744-8000
Mailing Address - Fax:231-744-8686
Practice Address - Street 1:1810 RUDDIMAN DR
Practice Address - Street 2:A
Practice Address - City:N MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49445-3172
Practice Address - Country:US
Practice Address - Phone:231-744-8000
Practice Address - Fax:231-744-8686
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010173771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice