Deerhaven Family Dentistry, P.l.c. | |
5217 N Royal Dr Traverse City MI 49684-6985 | |
(231) 929-3606 | |
(231) 929-0610 |
Full Name | Deerhaven Family Dentistry, P.l.c. |
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Speciality | Dentist - General Practice |
Location | 5217 N Royal Dr, Traverse City, Michigan |
Authorized Official Name and Position | Steven J Niergarth (OWNER) |
Authorized Official Contact | 2319293606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deerhaven Family Dentistry, P.l.c. 5217 N Royal Dr Traverse City MI 49684-6985 Ph: (231) 929-3606 | Deerhaven Family Dentistry, P.l.c. 5217 N Royal Dr Traverse City MI 49684-6985 Ph: (231) 929-3606 |
NPI Number | 1396878039 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396878039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 14121 (Michigan) | Primary |
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