NPI

Jonathan Andrew Dennis

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DO
Type
Individual
Enumeration date
2006-03-24
Last updated
2014-05-29

Specialties

Licenses

License MI
5101014532

Location

Practice location
111 Church Street
City
Tustin MI
Postal code
49688-5113
Phone
(231) 832-8560

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

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

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Nearby

Other NPIs in Tustin, MI. 20 records in the public file.

Removal request

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