| Centre Dental Associates, P.c. | |
|
621 W Centre Ave Portage MI 49024-5307 | |
| (269) 323-3128 | |
| (269) 323-2005 |
| Full Name | Centre Dental Associates, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 621 W Centre Ave, Portage, Michigan |
| Authorized Official Name and Position | John A. Wiler (PRESIDENT) |
| Authorized Official Contact | 2693233128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centre Dental Associates, P.c. 621 W Centre Ave Portage MI 49024-5307 Ph: (269) 323-3128 | Centre Dental Associates, P.c. 621 W Centre Ave Portage MI 49024-5307 Ph: (269) 323-3128 |
| NPI Number | 1063531572 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063531572 | NPI | - | NPPES |
| 1619019700 | Other | MI | DENTIST GENERAL PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 09572 (Michigan) | Primary |
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