| Main Street Dentistry, Pc | |
|
210 S Main St Yale MI 48097-3319 | |
| (810) 387-4746 | |
| Not Available |
| Full Name | Main Street Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 210 S Main St, Yale, Michigan |
| Authorized Official Name and Position | Keyna Lee Behnan (PRESIDENT) |
| Authorized Official Contact | 8103874746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dentistry, Pc 210 S Main St Yale MI 48097-3319 Ph: (810) 387-4746 | Main Street Dentistry, Pc 210 S Main St Yale MI 48097-3319 Ph: (810) 387-4746 |
| NPI Number | 1316206113 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 08/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316206113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901019511 (Michigan) | Primary |
| 261QD0000X | Clinic/center - Dental | 2901019511 (Michigan) | Secondary |
Mary L. Vinckier, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Gordon Dr., Suite B, Yale, MI 48097 Phone: 810-387-2262 Fax: 810-387-4207 | |
Ryan Schroeder Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S Main St, Yale, MI 48097 Phone: 810-387-4746 | |
Yale Main Street Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S Main St, Yale, MI 48097 Phone: 810-387-4746 |