I Care Oral Surgery And Dental Implant Center Pllc | |
2900 Union Lake Rd Ste 105 Commerce Twp MI 48382-3550 | |
(248) 363-5900 | |
(248) 363-4917 |
Full Name | I Care Oral Surgery And Dental Implant Center Pllc |
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Speciality | Dentist |
Location | 2900 Union Lake Rd Ste 105, Commerce Twp, Michigan |
Authorized Official Name and Position | William Lee Thomson (SOLE MEMBER) |
Authorized Official Contact | 2483635900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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I Care Oral Surgery And Dental Implant Center Pllc 2900 Union Lake Rd Ste 105 Commerce Twp MI 48382-3550 Ph: (248) 363-5900 | I Care Oral Surgery And Dental Implant Center Pllc 2900 Union Lake Rd Ste 105 Commerce Twp MI 48382-3550 Ph: (248) 363-5900 |
NPI Number | 1356865174 |
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Provider Enumeration Date | 08/02/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 4183994387 |
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Medicare Enrollment ID | O20170720002317 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356865174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901019256 (Michigan) | Primary |
Provider Name | William Lee Thompson |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1780890459 PECOS PAC ID: 2769639244 Enrollment ID: I20120906000388 |
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