| Dr. Richard C. Pfotenhauer Family Dentistry | |
|
116 N 9th St Ste B Gladstone MI 49837-1660 | |
| (906) 428-1325 | |
| (906) 428-2659 |
| Full Name | Dr. Richard C. Pfotenhauer Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 116 N 9th St Ste B, Gladstone, Michigan |
| Authorized Official Name and Position | Richard Pfotenhauer (DENTIST/PRESIDENT) |
| Authorized Official Contact | 9064281325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Richard C. Pfotenhauer Family Dentistry 116 N 9th St Ste B Gladstone MI 49837-1660 Ph: (906) 428-1325 | Dr. Richard C. Pfotenhauer Family Dentistry 116 N 9th St Ste B Gladstone MI 49837-1660 Ph: (906) 428-1325 |
| NPI Number | 1376262501 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376262501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Gallery B Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Delta Ave, Gladstone, MI 49837 Phone: 906-428-1616 Fax: 906-428-2177 |