| Alpine Dental Group, Inc. | |
|
3096 W M32 Hwy Gaylord MI 49735-9753 | |
| (989) 732-8600 | |
| (989) 731-4937 |
| Full Name | Alpine Dental Group, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3096 W M32 Hwy, Gaylord, Michigan |
| Authorized Official Name and Position | Ralph A. Kooistra (PRESIDENT) |
| Authorized Official Contact | 9897328600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Dental Group, Inc. 3096 W M32 Hwy Gaylord MI 49735-9753 Ph: (989) 732-8600 | Alpine Dental Group, Inc. 3096 W M32 Hwy Gaylord MI 49735-9753 Ph: (989) 732-8600 |
| NPI Number | 1659490878 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659490878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Michigan) | Primary |
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