| Pediatric Dentistry Of Michigan Pllc | |
|
3297 Eagle Run Dr Ne Grand Rapids MI 49525-7050 | |
| (917) 597-6749 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Michigan Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3297 Eagle Run Dr Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Wanki Kim (OWNER) |
| Authorized Official Contact | 9175976749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Michigan Pllc 3297 Eagle Run Dr Ne Grand Rapids MI 49525-7050 Ph: (917) 597-6749 | Pediatric Dentistry Of Michigan Pllc 3297 Eagle Run Dr Ne Grand Rapids MI 49525-7050 Ph: (917) 597-6749 |
| NPI Number | 1831702695 |
|---|---|
| Provider Enumeration Date | 08/30/2020 |
| Last Update Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831702695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
W&w Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 43rd St Se, Suite C, Grand Rapids, MI 49508 Phone: 616-455-4108 | |
Karen A O Rourke Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Kalamazoo Se Ste 1, Grand Rapids, MI 49508 Phone: 616-455-7930 Fax: 616-455-9952 | |
Durham & Mehling Dds Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2700 5 Mile Ne, Ste 201, Grand Rapids, MI 49525 Phone: 616-361-1727 Fax: 616-361-1455 | |
Grand Ridge Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Grand Ridge Dr Ne, Grand Rapids, MI 49525 Phone: 616-447-7800 Fax: 616-447-9611 | |
Oral Surgery Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2144 E Paris Ave Se Ste 150, Grand Rapids, MI 49546 Phone: 616-942-2000 Fax: 616-942-6805 | |
Eastern Dental Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2426 Burton St Se, Grand Rapids, MI 49546 Phone: 616-974-0991 Fax: 616-974-0920 | |
Adam E. Piotrowski, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E Beltline Ave Se Ste 101, Grand Rapids, MI 49546 Phone: 616-949-1570 |