Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michigan State University

Organization Dentist · NPI 1770646028

Michigan State University is a Dentist in East Lansing, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
12
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Practice location Address checks out

463 E Circle Dr
East Lansing, MI 48824-7500
Phone: (517) 353-4660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student Health Clinic/Center (primary) Taxonomy 261QS1000X
Dentist Taxonomy 122300000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Internal Medicine Physician Taxonomy 207R00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
Psychiatry Physician Taxonomy 2084P0800X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1770646028
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Relanda Price — Lead Enrollment Coordinator · (517) 884-2976
NPI enumeratedDecember 18, 2006
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023
Mailing address804 Service Rd Ste A109b, East Lansing, MI 48824-7015

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