| Greater Michigan Dental Associates | |
|
130 E Allegan St Otsego MI 49078-1102 | |
| (269) 698-2800 | |
| Not Available |
| Full Name | Greater Michigan Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 130 E Allegan St, Otsego, Michigan |
| Authorized Official Name and Position | Tara Leavell (OFFICE MANGER) |
| Authorized Official Contact | 2699643204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Michigan Dental Associates 133 E Allegan St Otsego MI 49078-1101 Ph: (269) 698-2800 | Greater Michigan Dental Associates 130 E Allegan St Otsego MI 49078-1102 Ph: (269) 698-2800 |
| NPI Number | 1952815482 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952815482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 016741 (Michigan) | Primary |
Michael J. Merda Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 W Allegan St, Otsego, MI 49078 Phone: 269-694-2074 |