55131 SHELBY RD
SHELBY TNP, MI 48317 US PECOS Enrolled
Overview
Jonathan Arthur Penzien is a Dentist in the SHELBY TNP area. Jonathan Arthur Penzien primary office location is at 55131 SHELBY RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205849171 and the information was updated approximately 17 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 2901018088 | MI |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Dentist - Taxonomy Code 122300000X | MI | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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