Michigan Dentists Pllc | |
2641 Shirley Dr Jackson MI 49201-8633 | |
(517) 787-5367 | |
Not Available |
Full Name | Michigan Dentists Pllc |
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Speciality | Dentist - General Practice |
Location | 2641 Shirley Dr, Jackson, Michigan |
Authorized Official Name and Position | Cheryl Notten (OFFICE MANAGER) |
Authorized Official Contact | 5177875367 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michigan Dentists Pllc 2641 Shirley Dr Jackson MI 49201-8633 Ph: (517) 787-5367 | Michigan Dentists Pllc 2641 Shirley Dr Jackson MI 49201-8633 Ph: (517) 787-5367 |
NPI Number | 1376152504 |
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Provider Enumeration Date | 07/23/2020 |
Last Update Date | 01/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376152504 | NPI | - | NPPES |
1295090611 | Other | MI | EDWIN KWON |
1518251230 | Other | MI | ANISH GUPTA |
1952617284 | Other | MI | FIRAS BELBEISI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
305S00000X | Point Of Service | (* (Not Available)) | Secondary |
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