| Kenneth L Egger Jr Dds Pc | |
|
900 E Bellows St Mount Pleasant MI 48858-3904 | |
| (989) 773-3560 | |
| (989) 773-9081 |
| Full Name | Kenneth L Egger Jr Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 900 E Bellows St, Mount Pleasant, Michigan |
| Authorized Official Name and Position | Kenneth L Egger (OWNER PRESIDENT) |
| Authorized Official Contact | 9897733560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth L Egger Jr Dds Pc 900 E Bellows St Mount Pleasant MI 48858-3904 Ph: (989) 773-3560 | Kenneth L Egger Jr Dds Pc 900 E Bellows St Mount Pleasant MI 48858-3904 Ph: (989) 773-3560 |
| NPI Number | 1316063803 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5395057558 |
|---|---|
| Medicare Enrollment ID | O20150701001559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316063803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901016479 (Michigan) | Primary |
| Provider Name | Kenneth Leon Egger |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1114936754 PECOS PAC ID: 6204148463 Enrollment ID: I20150701001621 |
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