Provider Demographics
NPI:1306443486
Name:PYLES FAMILY DENTISTRY PLLC
Entity type:Organization
Organization Name:PYLES FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PYLES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-678-2244
Mailing Address - Street 1:9111 LISCOM RD
Mailing Address - Street 2:
Mailing Address - City:GOODRICH
Mailing Address - State:MI
Mailing Address - Zip Code:48438-9268
Mailing Address - Country:US
Mailing Address - Phone:810-348-0039
Mailing Address - Fax:
Practice Address - Street 1:4053 S LAPEER RD STE B
Practice Address - Street 2:
Practice Address - City:METAMORA
Practice Address - State:MI
Practice Address - Zip Code:48455-8718
Practice Address - Country:US
Practice Address - Phone:810-678-2244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental