| Old Mission Dentistry | |
|
3258 Bowers Harbor Rd Traverse City MI 49686-9737 | |
| (231) 223-4232 | |
| (231) 223-9205 |
| Full Name | Old Mission Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3258 Bowers Harbor Rd, Traverse City, Michigan |
| Authorized Official Name and Position | Melissa Aylworth (OWNER) |
| Authorized Official Contact | 2312234232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Mission Dentistry 3258 Bowers Harbor Rd Traverse City MI 49686-9737 Ph: (231) 223-4232 | Old Mission Dentistry 3258 Bowers Harbor Rd Traverse City MI 49686-9737 Ph: (231) 223-4232 |
| NPI Number | 1497117923 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 03/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497117923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901019846 (Michigan) | Primary |
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