| Northern Family Dental Plc | |
|
106 E Garfield Ave Charlevoix MI 49720-1721 | |
| (231) 547-4148 | |
| (231) 547-5670 |
| Full Name | Northern Family Dental Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 106 E Garfield Ave, Charlevoix, Michigan |
| Authorized Official Name and Position | Brian Raymond Kwapisz (OWNER) |
| Authorized Official Contact | 2315474148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Family Dental Plc 106 E Garfield Ave Charlevoix MI 49720-1721 Ph: (231) 547-4148 | Northern Family Dental Plc 106 E Garfield Ave Charlevoix MI 49720-1721 Ph: (231) 547-4148 |
| NPI Number | 1053992057 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 06/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053992057 | NPI | - | NPPES |
| K120098730197 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Beacon Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6483 M 66 N, Charlevoix, MI 49720 Phone: 231-547-9141 Fax: 231-547-5077 | |
Jeffrey L Porter Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Bridge Park Drive, Charlevoix, MI 49720 Phone: 231-547-9516 | |
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