Independence Dental | |
717 S Grand Ave Fowlerville MI 48836-7914 | |
(517) 223-9753 | |
Not Available |
Full Name | Independence Dental |
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Speciality | Clinic/center - Dental |
Location | 717 S Grand Ave, Fowlerville, Michigan |
Authorized Official Name and Position | Christopher Stines (PRESIDENT) |
Authorized Official Contact | 5172239753 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Independence Dental Po Box 158 Fowlerville MI 48836-0158 Ph: (517) 223-9753 | Independence Dental 717 S Grand Ave Fowlerville MI 48836-7914 Ph: (517) 223-9753 |
NPI Number | 1679212369 |
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Provider Enumeration Date | 06/01/2022 |
Last Update Date | 06/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679212369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Fowlerville Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 W. Van Riper Road, Fowlerville, MI 48836 Phone: 517-223-3779 Fax: 517-223-0452 | |
Smile Forever Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 E Van Riper Rd, Box 945, Fowlerville, MI 48836 Phone: 517-223-4496 | |
Fowlerville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 753 S Grand Ave, Fowlerville, MI 48836 Phone: 517-223-8545 Fax: 517-223-8505 |