Provider Demographics
NPI:1205667581
Name:CHRISTINE UGGERI DDS PLC
Entity type:Organization
Organization Name:CHRISTINE UGGERI DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:UGGERI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:269-491-8727
Mailing Address - Street 1:8700 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MATTAWAN
Mailing Address - State:MI
Mailing Address - Zip Code:49071-9465
Mailing Address - Country:US
Mailing Address - Phone:269-491-8727
Mailing Address - Fax:
Practice Address - Street 1:1821 WHITES RD STE A
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-4805
Practice Address - Country:US
Practice Address - Phone:269-381-1003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty