Provider Demographics
NPI:1295696698
Name:PURE NORTH DENTISTRY PLLC
Entity type:Organization
Organization Name:PURE NORTH DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:T
Authorized Official - Last Name:SPILLANE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-705-2576
Mailing Address - Street 1:PO BOX 111
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-0111
Mailing Address - Country:US
Mailing Address - Phone:810-705-2576
Mailing Address - Fax:
Practice Address - Street 1:604 GALEN ST
Practice Address - Street 2:
Practice Address - City:GRAYLING
Practice Address - State:MI
Practice Address - Zip Code:49738-8788
Practice Address - Country:US
Practice Address - Phone:810-705-2576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty