| Jackson Pediatric Dentistry Pc | |
|
2500 Spring Arbor Rd Jackson MI 49203-3602 | |
| (517) 787-1022 | |
| Not Available |
| Full Name | Jackson Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2500 Spring Arbor Rd, Jackson, Michigan |
| Authorized Official Name and Position | Steven L Davenport (OWNER) |
| Authorized Official Contact | 5177871022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Pediatric Dentistry Pc 2500 Spring Arbor Rd Jackson MI 49203-3602 Ph: (517) 787-1022 | Jackson Pediatric Dentistry Pc 2500 Spring Arbor Rd Jackson MI 49203-3602 Ph: (517) 787-1022 |
| NPI Number | 1255870051 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255870051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901017187 (Michigan) | Primary |
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Wyatt And Pound Family Dentistry, P.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2885 Spring Arbor Rd, Jackson, MI 49203 Phone: 517-787-0900 Fax: 517-787-6363 | |
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Richard L. Carpenter, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2532 Spring Arbor Rd, Unit 4, Jackson, MI 49203 Phone: 517-789-8622 Fax: 517-789-8636 | |
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