| Pediatric Dentistry And Orthodontics Of Jackson | |
|
900 E Michigan Ave Ste 100 Jackson MI 49201-2457 | |
| (517) 376-3142 | |
| Not Available |
| Full Name | Pediatric Dentistry And Orthodontics Of Jackson |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 900 E Michigan Ave Ste 100, Jackson, Michigan |
| Authorized Official Name and Position | Ly Julie Van (PEDIATRIC DENTIST) |
| Authorized Official Contact | 5867449869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry And Orthodontics Of Jackson 900 E Michigan Ave Ste 100 Jackson MI 49201-2457 Ph: (517) 376-3142 | Pediatric Dentistry And Orthodontics Of Jackson 900 E Michigan Ave Ste 100 Jackson MI 49201-2457 Ph: (517) 376-3142 |
| NPI Number | 1952058133 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952058133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
Northwest Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 W Parnall Rd, Suite D, Jackson, MI 49201 Phone: 517-817-2222 Fax: 517-817-2295 | |
Wyatt And Pound Family Dentistry, P.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2885 Spring Arbor Rd, Jackson, MI 49203 Phone: 517-787-0900 Fax: 517-787-6363 | |
Dr. Tedders Office Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3595 Ann Arbor Rd, Jackson, MI 49202 Phone: 517-748-9440 Fax: 517-748-9442 | |
Iocca Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2555 Spring Arbor Rd, Jackson, MI 49203 Phone: 517-787-5210 Fax: 517-787-9223 | |
Richard L. Carpenter, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2532 Spring Arbor Rd, Unit 4, Jackson, MI 49203 Phone: 517-789-8622 Fax: 517-789-8636 | |
Lifetime Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2528 Spring Arbor Rd, Jackson, MI 49203 Phone: 517-787-9171 | |
Iocca Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Spring Arbor Rd Ste A, Jackson, MI 49203 Phone: 517-787-5210 Fax: 517-787-9223 |