Provider Demographics
NPI:1013008093
Name:ENDODONTIC SPECIALISTS, P.C.
Entity type:Organization
Organization Name:ENDODONTIC SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-351-0800
Mailing Address - Street 1:2501 COOLIDGE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-6352
Mailing Address - Country:US
Mailing Address - Phone:517-351-0800
Mailing Address - Fax:517-351-3399
Practice Address - Street 1:2501 COOLIDGE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6352
Practice Address - Country:US
Practice Address - Phone:517-351-0800
Practice Address - Fax:517-351-3399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty