Provider Demographics
NPI:1588900914
Name:POUND & POUND FAMILY DENTISTRY, PLLC
Entity type:Organization
Organization Name:POUND & POUND FAMILY DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:SHANE
Authorized Official - Last Name:POUND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-787-0900
Mailing Address - Street 1:2885 SPRING ARBOR RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203-3607
Mailing Address - Country:US
Mailing Address - Phone:517-787-0900
Mailing Address - Fax:517-787-6363
Practice Address - Street 1:2885 SPRING ARBOR RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-3607
Practice Address - Country:US
Practice Address - Phone:517-787-0900
Practice Address - Fax:517-787-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI19773261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental