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Active NPI 1639699010 Individual Practitioner Female Practitioner

Dr. Elise Chantel Soulliere , DDS

Dentist - General Practice • Kimball, MI

Professional Overview & Biography Verified Profile Summary

Dr. Elise Soulliere, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kimball, MI. Practice services are available at 2837 STABLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2837 Stable Dr

Kimball, MI 480741441

Telephone 8109853301
Associated Practice Facility / Clinic
🏢 Nancy Rietdorf Phd Pllc Facility NPI 1245383736

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kimball, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Kimball, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901022358

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1124702535

Doctor of Dental Surgery

Shannon Carter , RDH

Dental Hygienist

NPI 1245713601

Registered Dental Hygienist

NPI 1316085764

Doctor of Dental Surgery

Myrna Booth , RDH

Dental Hygienist

NPI 1427537695

Registered Dental Hygienist

Dr. Zachary Smith , DDS

Dentist - General Practice

NPI 1588157457

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2017

Registered at 2837 STABLE DR, KIMBALL, MI 480741441 (Tel: 8109853301)

📍
Updated Business Mailing Address June 26, 2017

Registered at 2222 COURT ST, PORT HURON, MI 480604938 (Tel: 8108418966)

👤
Provider Name / Credentials Updated June 26, 2017

Recorded as ELISE SOULLIERE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2017

Dentist (License #2901022358 in MI)

🟢
Initial NPI Registration & Enumeration June 26, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639699010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2017
Last Update: June 26, 2017
Sole Proprietor: No

Mailing Address

2222 Court St

Port Huron, MI 480604938

Phone: 8108418966

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.