| Oshtemo Family Dentistry, Pc | |
|
5917 Stadium Dr Kalamazoo MI 49009-3017 | |
| (269) 372-1042 | |
| (269) 372-9962 |
| Full Name | Oshtemo Family Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 5917 Stadium Dr, Kalamazoo, Michigan |
| Authorized Official Name and Position | Richard Kevin Bannow (PRESIDENT) |
| Authorized Official Contact | 2693721042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oshtemo Family Dentistry, Pc 5917 Stadium Dr Kalamazoo MI 49009-3017 Ph: (269) 372-1042 | Oshtemo Family Dentistry, Pc 5917 Stadium Dr Kalamazoo MI 49009-3017 Ph: (269) 372-1042 |
| NPI Number | 1053484253 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053484253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901012099 (Michigan) | Primary |
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