Provider Demographics
NPI:1932838026
Name:JANE W MAISCH DDS PLC
Entity Type:Organization
Organization Name:JANE W MAISCH DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAISCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-675-5156
Mailing Address - Street 1:7241 LANSING RD
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:MI
Mailing Address - Zip Code:48872-9743
Mailing Address - Country:US
Mailing Address - Phone:517-675-5156
Mailing Address - Fax:517-675-4914
Practice Address - Street 1:7241 LANSING RD
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:MI
Practice Address - Zip Code:48872-9743
Practice Address - Country:US
Practice Address - Phone:517-675-5156
Practice Address - Fax:517-675-4914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental