| 85 West Dental | |
|
190 Marcell Dr Ne Rockford MI 49341-1300 | |
| (616) 884-5884 | |
| (616) 884-5888 |
| Full Name | 85 West Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 190 Marcell Dr Ne, Rockford, Michigan |
| Authorized Official Name and Position | Wendy Hudson (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 6168845884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 85 West Dental 190 Marcell Dr Ne Rockford MI 49341-1300 Ph: (616) 884-5884 | 85 West Dental 190 Marcell Dr Ne Rockford MI 49341-1300 Ph: (616) 884-5884 |
| NPI Number | 1699274308 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699274308 | NPI | - | NPPES |
| 1588873509 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17750 (Michigan) | Primary |
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