| Carolyn S Way Dds Pc | |
|
751 Chestnut St Suite 103 Birmingham MI 48009-6461 | |
| (248) 647-1144 | |
| (248) 647-0380 |
| Full Name | Carolyn S Way Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 751 Chestnut St, Birmingham, Michigan |
| Authorized Official Name and Position | Carolyn Stehr Way (OWNER PRESIDENT) |
| Authorized Official Contact | 2486471144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn S Way Dds Pc 751 Chestnut St Suite 103 Birmingham MI 48009-6461 Ph: (248) 647-1144 | Carolyn S Way Dds Pc 751 Chestnut St Suite 103 Birmingham MI 48009-6461 Ph: (248) 647-1144 |
| NPI Number | 1699889618 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699889618 | NPI | - | NPPES |
| 3032222 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13531 (Michigan) | Primary |
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