| Mattawan Family Dentistry | |
|
56400 City Center Cir Mattawan MI 49071-8380 | |
| (269) 568-2609 | |
| Not Available |
| Full Name | Mattawan Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 56400 City Center Cir, Mattawan, Michigan |
| Authorized Official Name and Position | Jonathan Vandenburgh (OWNER) |
| Authorized Official Contact | 2695682609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mattawan Family Dentistry 56400 City Center Cir Mattawan MI 49071-8380 Ph: (269) 568-2609 | Mattawan Family Dentistry 56400 City Center Cir Mattawan MI 49071-8380 Ph: (269) 568-2609 |
| NPI Number | 1124836531 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124836531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
Van Buren/cass District Public Health Department Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23200 Red Arrow Hwy, Mattawan, MI 49071 Phone: 269-621-3143 Fax: 269-621-2725 |