Provider Demographics
NPI:1396336855
Name:INFINITY DENTAL HIGHPOINT PLLC
Entity type:Organization
Organization Name:INFINITY DENTAL HIGHPOINT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEAM LEAD
Authorized Official - Prefix:
Authorized Official - First Name:STACIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-930-3151
Mailing Address - Street 1:285 W WESTERN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49440-1119
Mailing Address - Country:US
Mailing Address - Phone:231-930-3151
Mailing Address - Fax:231-244-9444
Practice Address - Street 1:285 W WESTERN AVE STE 102
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49440-1119
Practice Address - Country:US
Practice Address - Phone:231-930-3151
Practice Address - Fax:231-244-9444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
1699220285OtherDR. MICHELLE KUZNIA NPI