| Dr. Eldib Fort Gratiot, Pllc | |
|
4036 24th Ave Fort Gratiot MI 48059-3800 | |
| (810) 385-9766 | |
| (810) 990-8403 |
| Full Name | Dr. Eldib Fort Gratiot, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4036 24th Ave, Fort Gratiot, Michigan |
| Authorized Official Name and Position | Kelley Varga (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 7348080000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Eldib Fort Gratiot, Pllc 4036 24th Ave Fort Gratiot MI 48059-3800 Ph: (810) 385-9766 | Dr. Eldib Fort Gratiot, Pllc 4036 24th Ave Fort Gratiot MI 48059-3800 Ph: (810) 385-9766 |
| NPI Number | 1841023264 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841023264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Smile Zone Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4036 24th Ave, Fort Gratiot, MI 48059 Phone: 810-385-9766 | |
Blue Water Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4044 24th Ave, Fort Gratiot, MI 48059 Phone: 810-385-2273 Fax: 810-385-6285 | |
Amazing Dental Port Huron Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 24th Ave, Fort Gratiot, MI 48059 Phone: 810-385-9766 | |
Birchwood Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4036 24th Ave, Fort Gratiot, MI 48059 Phone: 810-385-9766 Fax: 810-385-4161 | |
Smile Zone Dental Dental Clinic Medicare: Medicare Enrolled Practice Location: 4036 24th Ave, Fort Gratiot, MI 48059 Phone: 810-385-9766 Fax: 810-990-8403 |