| Gaylord Family Dentistry | |
|
1507 S Otsego Ave Ste A Gaylord MI 49735-9524 | |
| (989) 732-4199 | |
| (989) 731-6762 |
| Full Name | Gaylord Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1507 S Otsego Ave Ste A, Gaylord, Michigan |
| Authorized Official Name and Position | Nicole Koenig (OFFICE MANAGER) |
| Authorized Official Contact | 9897324199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaylord Family Dentistry Po Box 1725 Gaylord MI 49734-5725 Ph: (989) 732-4199 | Gaylord Family Dentistry 1507 S Otsego Ave Ste A Gaylord MI 49735-9524 Ph: (989) 732-4199 |
| NPI Number | 1215100987 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 03/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215100987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16080 (Michigan) | Primary |
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