| Elaine Gantz, D.d.s., P.c. | |
|
4005 Highland Rd. Waterford MI 48328-2134 | |
| (248) 682-4971 | |
| (248) 682-4515 |
| Full Name | Elaine Gantz, D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 4005 Highland Rd., Waterford, Michigan |
| Authorized Official Name and Position | Karen Louise Goeringer (ADMINISTRATOR) |
| Authorized Official Contact | 2486824971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Gantz, D.d.s., P.c. 4005 Highland Rd. Waterford MI 48328-2134 Ph: (248) 682-4971 | Elaine Gantz, D.d.s., P.c. 4005 Highland Rd. Waterford MI 48328-2134 Ph: (248) 682-4971 |
| NPI Number | 1598979676 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/11/2015 |
| Medicare PECOS PAC ID | 6305152935 |
|---|---|
| Medicare Enrollment ID | O20150827002089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598979676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13299 (Michigan) | Primary |
| Provider Name | Neena K Leverenz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336582162 PECOS PAC ID: 7416263041 Enrollment ID: I20150827002385 |
| Provider Name | Elaine K Gantz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013996537 PECOS PAC ID: 4385950914 Enrollment ID: I20160414000958 |
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