Patient Dentistry,p.c. | |
113 South Kalamazoo St. White Pigeon MI 49099 | |
(269) 483-9621 | |
(269) 483-2569 |
Full Name | Patient Dentistry,p.c. |
---|---|
Speciality | Dentist |
Location | 113 South Kalamazoo St., White Pigeon, Michigan |
Authorized Official Name and Position | Patrick William Goodman (PRESIDENT) |
Authorized Official Contact | 2694839621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Patient Dentistry,p.c. 113 South Kalamazoo St. P.o. Box 695 White Pigeon MI 49099 Ph: (269) 483-9621 | Patient Dentistry,p.c. 113 South Kalamazoo St. White Pigeon MI 49099 Ph: (269) 483-9621 |
NPI Number | 1639295652 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639295652 | NPI | - | NPPES |
1134259047 | Other | MI | NPI TYPE 1 |
2901016419 | Other | MI | DENTIST LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901016419 (Michigan) | Primary |