| Baker College Of Port Huron | |
|
3403 Lapeer Road Port Huron MI 48060-2597 | |
| (810) 985-3729 | |
| (810) 985-7066 |
| Full Name | Baker College Of Port Huron |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3403 Lapeer Road, Port Huron, Michigan |
| Authorized Official Name and Position | David P Smith (SUPERVISING DENTIST) |
| Authorized Official Contact | 8109853729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker College Of Port Huron 3403 Lapeer Road Port Huron MI 48060-2597 Ph: (810) 985-3729 | Baker College Of Port Huron 3403 Lapeer Road Port Huron MI 48060-2597 Ph: (810) 985-3729 |
| NPI Number | 1962523001 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962523001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 015451 (Michigan) | Primary |
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