Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc | |
9021 N Rodgers Ct Se Ste A Caledonia MI 49316-7650 | |
(616) 891-1700 | |
(616) 891-9306 |
Full Name | Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 9021 N Rodgers Ct Se Ste A, Caledonia, Michigan |
Authorized Official Name and Position | Bradley G Vanhoose Garrett Vanhoose (ORAL SURGEON) |
Authorized Official Contact | 6168911700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc 9021 N Rodgers Ct Se Ste A Caledonia MI 49316-7650 Ph: (616) 891-1700 | Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc 9021 N Rodgers Ct Se Ste A Caledonia MI 49316-7650 Ph: (616) 891-1700 |
NPI Number | 1295375137 |
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Provider Enumeration Date | 01/08/2020 |
Last Update Date | 01/08/2020 |
Identifier | Type | State | Issuer |
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1295375137 | NPI | - | NPPES |
1134177942 | Other | MI | NPI |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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Caledonia Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9090 S Rodgers Ct Se, Caledonia, MI 49316 Phone: 616-891-8141 Fax: 616-891-8142 | |
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West Michigan Dental Professionals Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6477 Cherry Meadow Dr Se Ste 1, Caledonia, MI 49316 Phone: 616-891-8990 Fax: 616-891-9004 | |
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