| Dental Pediatric Spectrum Devos Hospital | |
|
100 Michigan St Ne Grand Rapids MI 49503-2560 | |
| (866) 989-7999 | |
| Not Available |
| Full Name | Dental Pediatric Spectrum Devos Hospital |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 100 Michigan St Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Julie Tatko (CEO) |
| Authorized Official Contact | 2317452743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Pediatric Spectrum Devos Hospital 1615 Michigan Ave Baldwin MI 49304-7984 Ph: (231) 745-2743 | Dental Pediatric Spectrum Devos Hospital 100 Michigan St Ne Grand Rapids MI 49503-2560 Ph: (866) 989-7999 |
| NPI Number | 1578181004 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578181004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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