| Mark L O'dell, Dds | |
|
7971 Main St Birch Run MI 48415-8001 | |
| (989) 624-9381 | |
| (989) 624-9353 |
| Full Name | Mark L O'dell, Dds |
|---|---|
| Speciality | Dentist |
| Location | 7971 Main St, Birch Run, Michigan |
| Authorized Official Name and Position | Mark L O'dell (DENTIST) |
| Authorized Official Contact | 9896249381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark L O'dell, Dds 7971 Main St Po Box 460 Birch Run MI 48415-8001 Ph: (989) 624-9381 | Mark L O'dell, Dds 7971 Main St Birch Run MI 48415-8001 Ph: (989) 624-9381 |
| NPI Number | 1235370834 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 03/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235370834 | NPI | - | NPPES |
| 2926589 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11334 (Michigan) | Primary |
| 122300000X | Dentist | 2901019315 (Michigan) | Secondary |
Main Street Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8155 Main St, Birch Run, MI 48415 Phone: 989-624-4641 | |
Adam R. White, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7971 Main St, Birch Run, MI 48415 Phone: 989-624-9381 Fax: 989-244-6361 | |
Birch Run Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9420 Birch Run Rd, Birch Run, MI 48415 Phone: 989-624-5570 Fax: 989-624-5576 |