| Andrew J Thanos Dds Pc | |
|
2012 10th St Menominee MI 49858-2194 | |
| (906) 863-9203 | |
| (906) 863-9205 |
| Full Name | Andrew J Thanos Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2012 10th St, Menominee, Michigan |
| Authorized Official Name and Position | Andrew John Thanos (PRESIDENT) |
| Authorized Official Contact | 9068639203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew J Thanos Dds Pc 2012 10th St Menominee MI 49858-2194 Ph: (906) 863-9203 | Andrew J Thanos Dds Pc 2012 10th St Menominee MI 49858-2194 Ph: (906) 863-9203 |
| NPI Number | 1104958420 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104958420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10281 (Michigan) | Primary |
N E W Up Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4103 10th St, Menominee, MI 49858 Phone: 906-863-2206 Fax: 906-863-6389 |