Provider Demographics
NPI:1447981865
Name:JEFFREY A LONIER, DDS PLLC
Entity type:Organization
Organization Name:JEFFREY A LONIER, DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:LONIER
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:517-349-4540
Mailing Address - Street 1:601 W GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3110
Mailing Address - Country:US
Mailing Address - Phone:517-349-4540
Mailing Address - Fax:517-349-6056
Practice Address - Street 1:601 W GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3110
Practice Address - Country:US
Practice Address - Phone:517-349-4540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty