| Dowagiac Family Dentistry | |
|
530 Riverside Dr Dowagiac MI 49047-2101 | |
| (269) 782-5161 | |
| (269) 782-1126 |
| Full Name | Dowagiac Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 530 Riverside Dr, Dowagiac, Michigan |
| Authorized Official Name and Position | Jonathan W Gillesby (PRESIDENT) |
| Authorized Official Contact | 2697825161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dowagiac Family Dentistry 530 Riverside Dr Dowagiac MI 49047-2101 Ph: (269) 782-5161 | Dowagiac Family Dentistry 530 Riverside Dr Dowagiac MI 49047-2101 Ph: (269) 782-5161 |
| NPI Number | 1811414931 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811414931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901017899 (Michigan) | Primary |
Van Buren/cass District Health Department Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 South Front Street, Dowagiac, MI 49047 Phone: 269-782-0064 Fax: 269-782-0121 |