| Georgetown Family & Cosmetic Dentistry Plc | |
|
7678 Cottonwood Dr Jenison MI 49428 | |
| (616) 457-4600 | |
| (616) 457-4600 |
| Full Name | Georgetown Family & Cosmetic Dentistry Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7678 Cottonwood Dr, Jenison, Michigan |
| Authorized Official Name and Position | Tyler Andrew Wolf (OWNER DENTIST) |
| Authorized Official Contact | 6164574600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Family & Cosmetic Dentistry Plc 7678 Cottonwood Dr Jenison MI 49428 Ph: (616) 457-4600 | Georgetown Family & Cosmetic Dentistry Plc 7678 Cottonwood Dr Jenison MI 49428 Ph: (616) 457-4600 |
| NPI Number | 1255404992 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255404992 | NPI | - | NPPES |
| J801114 | Other | BCBS ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Clark And Vanoverloop Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 Georgetown Center Dr, Suite 101, Jenison, MI 49428 Phone: 616-457-6800 | |
Midwest Implant Surgery Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2064 Baldwin St, Jenison, MI 49428 Phone: 616-457-2299 | |
Grand River Pediatric Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7758 20th Ave, Jenison, MI 49428 Phone: 734-250-4494 | |
Daniel D Seitz Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Baldwin St, Jenison, MI 49428 Phone: 616-457-5610 | |
Mark Lm Powell Dds Msd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2076 Baldwin St, Jenison, MI 49428 Phone: 616-457-5866 | |
Douglas P. Borst Dds P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1895 Georgetown Center Dr, Jenison, MI 49428 Phone: 616-457-1610 |