| Jason C. Doublestein, D.d.s., P.l.l.c. | |
|
4320 44th St Sw Suite 106 Grandville MI 49418-2300 | |
| (616) 530-2200 | |
| (616) 530-8250 |
| Full Name | Jason C. Doublestein, D.d.s., P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4320 44th St Sw, Grandville, Michigan |
| Authorized Official Name and Position | Jason C Doublestein (PRESIDENT) |
| Authorized Official Contact | 6165302200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason C. Doublestein, D.d.s., P.l.l.c. 4320 44th St Sw Suite 106 Grandville MI 49418-2300 Ph: (616) 530-2200 | Jason C. Doublestein, D.d.s., P.l.l.c. 4320 44th St Sw Suite 106 Grandville MI 49418-2300 Ph: (616) 530-2200 |
| NPI Number | 1275766461 |
|---|---|
| Provider Enumeration Date | 09/03/2009 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275766461 | NPI | - | NPPES |
| 1386760072 | Other | MI | DENTIST |
| 1952426371 | Other | MI | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901018806 (Michigan) | Primary |
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