| Great Lakes Dental Care P.c. | |
|
933 3 Mile Rd Nw Ste 110 Grand Rapids MI 49544-1673 | |
| (616) 784-6300 | |
| Not Available |
| Full Name | Great Lakes Dental Care P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 933 3 Mile Rd Nw Ste 110, Grand Rapids, Michigan |
| Authorized Official Name and Position | Dennis Bruce Webb (DENTIST) |
| Authorized Official Contact | 6167846300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Dental Care P.c. 933 3 Mile Rd Nw Ste 110 Grand Rapids MI 49544-1673 Ph: (616) 784-6300 | Great Lakes Dental Care P.c. 933 3 Mile Rd Nw Ste 110 Grand Rapids MI 49544-1673 Ph: (616) 784-6300 |
| NPI Number | 1730238577 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730238577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901011152 (Michigan) | Primary |
| 1223G0001X | Dentist - General Practice | 2901019180 (Michigan) | Secondary |
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