| Lakeville Dental Clinic, Pc | |
|
380 N State Otisville MI 48463 | |
| (810) 631-4524 | |
| (810) 631-7041 |
| Full Name | Lakeville Dental Clinic, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 380 N State, Otisville, Michigan |
| Authorized Official Name and Position | Katelyn M Reinert (OFFICE MANAGER) |
| Authorized Official Contact | 8106314524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeville Dental Clinic, Pc 380 N State Otisville MI 48463 Ph: (810) 631-4524 | Lakeville Dental Clinic, Pc 380 N State Otisville MI 48463 Ph: (810) 631-4524 |
| NPI Number | 1568554681 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 05/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568554681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
James R Ford Dds, James J Fehrman Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12265 N State Rd, Otisville, MI 48463 Phone: 810-631-4573 |