| Pine River Dental Care | |
|
610 N Pine River St Ithaca MI 48847-1167 | |
| (989) 875-2888 | |
| (989) 875-4604 |
| Full Name | Pine River Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 610 N Pine River St, Ithaca, Michigan |
| Authorized Official Name and Position | Dale A Nester (OWNER) |
| Authorized Official Contact | 9898752888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine River Dental Care 610 N Pine River St Ithaca MI 48847-1167 Ph: (989) 875-2888 | Pine River Dental Care 610 N Pine River St Ithaca MI 48847-1167 Ph: (989) 875-2888 |
| NPI Number | 1295986479 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 08/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295986479 | NPI | - | NPPES |
| 1519621 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12204 (Michigan) | Primary |
| 1223G0001X | Dentist - General Practice | 14779 (Michigan) | Secondary |
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 | |
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 |