| Dental Clinic | |
|
200 Ferris Dr Vfs 202 Big Rapids MI 49307-2740 | |
| (231) 591-2260 | |
| (231) 591-3791 |
| Full Name | Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 200 Ferris Dr, Big Rapids, Michigan |
| Authorized Official Name and Position | Annette Ursula Jackson (DH CLINIC OPERATIONS SUPERVISOR) |
| Authorized Official Contact | 2315912284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Clinic 200 Ferris Dr Vfs 202 Big Rapids MI 49307-2740 Ph: (231) 591-2260 | Dental Clinic 200 Ferris Dr Vfs 202 Big Rapids MI 49307-2740 Ph: (231) 591-2260 |
| NPI Number | 1285813949 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285813949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Michigan) | Primary |
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