| Fowlerville Family Dentistry | |
|
753 S Grand Ave Fowlerville MI 48836-7914 | |
| (517) 223-8545 | |
| (517) 223-8505 |
| Full Name | Fowlerville Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 753 S Grand Ave, Fowlerville, Michigan |
| Authorized Official Name and Position | Brian J Petersburg (PRESIDENT) |
| Authorized Official Contact | 5172238545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fowlerville Family Dentistry 753 S Grand Ave Fowlerville MI 48836-7914 Ph: (517) 223-8545 | Fowlerville Family Dentistry 753 S Grand Ave Fowlerville MI 48836-7914 Ph: (517) 223-8545 |
| NPI Number | 1841620655 |
|---|---|
| Provider Enumeration Date | 11/14/2013 |
| Last Update Date | 11/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841620655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901010174 (Michigan) | Primary |
| 122300000X | Dentist | 2901017224 (Michigan) | Secondary |
| 122300000X | Dentist | 2901020477 (Michigan) | Secondary |
Fowlerville Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 W. Van Riper Road, Fowlerville, MI 48836 Phone: 517-223-3779 Fax: 517-223-0452 | |
Smile Forever Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 E Van Riper Rd, Box 945, Fowlerville, MI 48836 Phone: 517-223-4496 | |
Independence Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S Grand Ave, Fowlerville, MI 48836 Phone: 517-223-9753 |