NPI

Larry Patrick Dewulf

NPI 1336314350

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DDS
Type
Individual
Enumeration date
2008-04-30
Last updated
2008-04-30

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Specialties

Licenses

License MI
2901011029

Location

Practice location
8609 W Grand River, #102-1
City
Brighton MI
Postal code
48116
Phone
(810) 229-5990

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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