| Dental Design P.c. | |
|
2021 44th St Se Ste B Grand Rapids MI 49508-5349 | |
| (616) 452-0400 | |
| (855) 918-1014 |
| Full Name | Dental Design P.c. |
|---|---|
| Speciality | Dentist |
| Location | 2021 44th St Se Ste B, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tracy Elaine Blount (PRESIDENT) |
| Authorized Official Contact | 6164520400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Design P.c. Po Box 88007 Grand Rapids MI 49518-0007 Ph: (616) 452-0400 | Dental Design P.c. 2021 44th St Se Ste B Grand Rapids MI 49508-5349 Ph: (616) 452-0400 |
| NPI Number | 1891892006 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891892006 | NPI | - | NPPES |
| 2759918 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901015828 (Michigan) | Primary |
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