Provider Demographics
NPI:1730268160
Name:ORLEY, PAUL T (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:T
Last Name:ORLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27551 BIRMINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:PAW PAW
Mailing Address - State:MI
Mailing Address - Zip Code:49079-8544
Mailing Address - Country:US
Mailing Address - Phone:269-599-5753
Mailing Address - Fax:
Practice Address - Street 1:2410 E G AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49004-1943
Practice Address - Country:US
Practice Address - Phone:269-349-7393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010190721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice