| Jane E Bancuk, Dds | |
|
7184 Meadowbrook Dr Canton MI 48187-3552 | |
| (734) 844-8438 | |
| Not Available |
| Full Name | Jane E Bancuk, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7184 Meadowbrook Dr, Canton, Michigan |
| Authorized Official Name and Position | Jane E Bancuk (MANAGING MEMBER) |
| Authorized Official Contact | 7348448438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane E Bancuk, Dds 7184 Meadowbrook Dr Canton MI 48187-3552 Ph: (734) 844-8438 | Jane E Bancuk, Dds 7184 Meadowbrook Dr Canton MI 48187-3552 Ph: (734) 844-8438 |
| NPI Number | 1801919287 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 02/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801919287 | NPI | - | NPPES |
| 264873 | Other | UNITED CONCORDIA INS | |
| D132450 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901013245 (Michigan) | Primary |
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