| Patrick J. Condit Dds,pllc | |
|
4270 Plainfield Ave Ne Ste D Grand Rapids MI 49525-1603 | |
| (616) 361-9497 | |
| (616) 724-6434 |
| Full Name | Patrick J. Condit Dds,pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4270 Plainfield Ave Ne Ste D, Grand Rapids, Michigan |
| Authorized Official Name and Position | Patrick James Condit (MEMBER) |
| Authorized Official Contact | 6163619497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick J. Condit Dds,pllc 2641 Boston St Se Grand Rapids MI 49506-4766 Ph: (616) 560-7384 | Patrick J. Condit Dds,pllc 4270 Plainfield Ave Ne Ste D Grand Rapids MI 49525-1603 Ph: (616) 361-9497 |
| NPI Number | 1073240891 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073240891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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