Pine River Dental Care | |
610 N Pine River St Ithaca MI 48847 | |
(989) 875-2888 | |
Not Available |
Full Name | Pine River Dental Care |
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Speciality | Dentist - General Practice |
Location | 610 N Pine River St, Ithaca, Michigan |
Authorized Official Name and Position | Brian J Putman (MEMBER) |
Authorized Official Contact | 9898752888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pine River Dental Care 610 N Pine River St Ithaca MI 48847 Ph: (419) 786-0749 | Pine River Dental Care 610 N Pine River St Ithaca MI 48847 Ph: (989) 875-2888 |
NPI Number | 1174925069 |
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Provider Enumeration Date | 09/23/2014 |
Last Update Date | 02/17/2023 |
Identifier | Type | State | Issuer |
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1174925069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 30.023756 (Ohio) | Secondary |
122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Gary A. Schluckebier, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 N Pine River St, Ithaca, MI 48847 Phone: 989-875-4721 Fax: 989-875-6018 | |
Pine River Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Pine River St, Ithaca, MI 48847 Phone: 989-875-2888 Fax: 989-875-4604 | |
Darren M Riopelle Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 South Main Street, Ithaca, MI 48847 Phone: 989-875-4832 Fax: 989-875-3927 | |
Smile Ithaca Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 S Main St, Ithaca, MI 48847 Phone: 989-875-4832 |