Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
55131 SHELBY RD
SHELBY TNP, MI 48317 US

Dr. Jonathan Arthur Penzien, DDS

Dentist


Dr. Jonathan Arthur Penzien, DDS

Overview

Dr. Jonathan Arthur Penzien, DDS is a Dentist in the SHELBY TNP area. Dr. Jonathan Arthur Penzien, DDS 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 13 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

Primary Practice Location Information
55131 SHELBY RD
SHELBY TNP, MI 48317 US
Phone: (243)-650-5500
Fax:
Practice Mailing Information
55131 SHELBY RD
SHELBY TNP, MI 48317 US
Phone: (243)-650-5500
Fax: (248)-650-5675
License NumberState
2901018088MI

No Identifiers found

TaxonomyStatePrimary?
Dentist - Taxonomy Code 122300000X MIY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
PECOS PART B Yes
PECOS DME Yes
PECOS HHA Yes
PECOS PMD -
;