Provider Demographics
NPI:1962625350
Name:LAFLEUR, ALBERT J (DDS)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:J
Last Name:LAFLEUR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5838 LEONARD ST
Mailing Address - Street 2:
Mailing Address - City:COOPERSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49404-9451
Mailing Address - Country:US
Mailing Address - Phone:616-837-7326
Mailing Address - Fax:616-837-5162
Practice Address - Street 1:345 MAIN ST
Practice Address - Street 2:
Practice Address - City:COOPERSVILLE
Practice Address - State:MI
Practice Address - Zip Code:49404-1265
Practice Address - Country:US
Practice Address - Phone:616-837-7326
Practice Address - Fax:616-837-5162
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMI153751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice