Community Shores Dental | |
384 N 3rd Ave Ste A Fruitport MI 49415-9773 | |
(231) 865-6945 | |
(231) 865-1375 |
Full Name | Community Shores Dental |
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Speciality | Dentist - General Practice |
Location | 384 N 3rd Ave Ste A, Fruitport, Michigan |
Authorized Official Name and Position | Christopher Sortman (PRESIDENTA) |
Authorized Official Contact | 2318656945 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Shores Dental 384 N 3rd Ave Ste A Fruitport MI 49415-9773 Ph: (231) 865-6945 | Community Shores Dental 384 N 3rd Ave Ste A Fruitport MI 49415-9773 Ph: (231) 865-6945 |
NPI Number | 1174881866 |
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Provider Enumeration Date | 05/01/2012 |
Last Update Date | 05/01/2012 |
Identifier | Type | State | Issuer |
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1174881866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901018853 (Michigan) | Primary |
Jessica J Sneller Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 384 N Third Ave, Suite A, Fruitport, MI 49415 Phone: 231-366-6081 Fax: 231-366-6083 | |
Chelsea Klipfel, D.d.s., P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 E Beech St, Fruitport, MI 49415 Phone: 231-865-6141 Fax: 231-865-6198 | |
Donna L Rick Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 E Beech St, Fruitport, MI 49415 Phone: 231-865-6141 Fax: 231-865-6198 |