| Blue Water Family Dentistry Pc | |
|
4044 24th Ave Fort Gratiot MI 48059 | |
| (810) 385-2273 | |
| (810) 385-6285 |
| Full Name | Blue Water Family Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 4044 24th Ave, Fort Gratiot, Michigan |
| Authorized Official Name and Position | William Scott Meyer (DENTIST) |
| Authorized Official Contact | 8103852273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Family Dentistry Pc 4044 24th Ave Fort Gratiot MI 48059 Ph: (810) 385-2273 | Blue Water Family Dentistry Pc 4044 24th Ave Fort Gratiot MI 48059 Ph: (810) 385-2273 |
| NPI Number | 1396756615 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396756615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16113 (Michigan) | Secondary |
| 122300000X | Dentist | 16735 (Michigan) | Primary |
| 122300000X | Dentist | 15282 (Michigan) | Secondary |
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