| Cassopolis Dental, P.c. | |
|
62225 M 62 Cassopolis MI 49031-8733 | |
| (269) 445-8636 | |
| (269) 445-2891 |
| Full Name | Cassopolis Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 62225 M 62, Cassopolis, Michigan |
| Authorized Official Name and Position | John Hayman (OWNER DENTIST) |
| Authorized Official Contact | 2694458636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cassopolis Dental, P.c. Po Box 335 Cassopolis MI 49031-0335 Ph: (269) 445-8636 | Cassopolis Dental, P.c. 62225 M 62 Cassopolis MI 49031-8733 Ph: (269) 445-8636 |
| NPI Number | 1558743690 |
|---|---|
| Provider Enumeration Date | 06/25/2015 |
| Last Update Date | 06/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558743690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901015556 (Michigan) | Primary |
| 1223G0001X | Dentist - General Practice | 2901021614 (Michigan) | Secondary |
Smile Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Broadway St, Cassopolis, MI 49031 Phone: 269-445-5550 Fax: 269-445-0101 |