Lakeside Smiles, Pllc | |
200 N Maple St Fennville MI 49408-8478 | |
(269) 561-2904 | |
Not Available |
Full Name | Lakeside Smiles, Pllc |
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Speciality | Dentist - General Practice |
Location | 200 N Maple St, Fennville, Michigan |
Authorized Official Name and Position | Michael E Meyer (MEMBER) |
Authorized Official Contact | 2695612904 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeside Smiles, Pllc 200 N Maple St Po Box 506 Fennville MI 49408-8478 Ph: (269) 561-2904 | Lakeside Smiles, Pllc 200 N Maple St Fennville MI 49408-8478 Ph: (269) 561-2904 |
NPI Number | 1124417928 |
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Provider Enumeration Date | 01/16/2015 |
Last Update Date | 01/16/2015 |
Identifier | Type | State | Issuer |
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1124417928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 13870 (Michigan) | Primary |
Sharp Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 E 1st St, Fennville, MI 49408 Phone: 269-561-8661 |