NPI

Traci Jill Dantzler

NPI 1730407602

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
D.D.S.
Type
Individual
Enumeration date
2010-05-17
Last updated
2010-05-17

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Specialties

Licenses

License MI
2901015564

Location

Practice location
4170 Lennon Rd Ste A
City
Flint MI
Postal code
48507-1083
Phone
(810) 720-4170

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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