| Mccoy Family Dentistry | |
|
2330 44th St Se Grand Rapids MI 49508-4700 | |
| (616) 538-6210 | |
| Not Available |
| Full Name | Mccoy Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2330 44th St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Steven Mccoy (CO OWNER) |
| Authorized Official Contact | 6165386210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccoy Family Dentistry 2330 44th St Se Grand Rapids MI 49508-4700 Ph: (616) 538-6210 | Mccoy Family Dentistry 2330 44th St Se Grand Rapids MI 49508-4700 Ph: (616) 538-6210 |
| NPI Number | 1710417969 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710417969 | NPI | - | NPPES |
| 1265599807 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12826 (Michigan) | Primary |
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