Provider Demographics
NPI:1720730799
Name:AFFORDABLE DENTURES & IMPLANTS - MICHIGAN, PLLC
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - MICHIGAN, PLLC
Other - Org Name:AFFORDABLE DENTURES & IMPLANTS - LANSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:NARANJA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-657-8490
Mailing Address - Street 1:333 N MARKETPLACE BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-7776
Mailing Address - Country:US
Mailing Address - Phone:517-657-8490
Mailing Address - Fax:
Practice Address - Street 1:333 N MARKETPLACE BLVD STE C
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-7776
Practice Address - Country:US
Practice Address - Phone:517-657-8490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty