Provider Demographics
NPI:1780410894
Name:PLEASANT ORTHODONTICS
Entity type:Organization
Organization Name:PLEASANT ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:COURSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-463-2400
Mailing Address - Street 1:307 S MISSION ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2879
Mailing Address - Country:US
Mailing Address - Phone:989-317-4730
Mailing Address - Fax:989-317-4734
Practice Address - Street 1:307 S MISSION ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2879
Practice Address - Country:US
Practice Address - Phone:989-317-4730
Practice Address - Fax:989-317-4734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty