| Bay Mills Dental Clinic | |
|
12455 W Lakeshore Dr Brimley MI 49715-9327 | |
| (906) 248-5527 | |
| (906) 248-5765 |
| Full Name | Bay Mills Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12455 W Lakeshore Dr, Brimley, Michigan |
| Authorized Official Name and Position | Abby Kaunisto (CLINIC COORDINATOR) |
| Authorized Official Contact | 9062488315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Mills Dental Clinic 12455 W Lakeshore Dr Brimley MI 49715-9327 Ph: (906) 248-5527 | Bay Mills Dental Clinic 12455 W Lakeshore Dr Brimley MI 49715-9327 Ph: (906) 248-5527 |
| NPI Number | 1851358873 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851358873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OA76020 (Michigan) | Primary |