| Northway Family Dentistry | |
|
3050 Ivanrest Ave Sw Grandville MI 49418-1400 | |
| (616) 531-7480 | |
| (616) 531-4552 |
| Full Name | Northway Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3050 Ivanrest Ave Sw, Grandville, Michigan |
| Authorized Official Name and Position | Thomas Frank Northway (OWNER) |
| Authorized Official Contact | 6165317480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northway Family Dentistry 3050 Ivanrest Ave Sw Grandville MI 49418-1400 Ph: (616) 531-7480 | Northway Family Dentistry 3050 Ivanrest Ave Sw Grandville MI 49418-1400 Ph: (616) 531-7480 |
| NPI Number | 1063800563 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 01/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063800563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12024 (Michigan) | Primary |
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