| Port Sanilac Dental Care | |
|
245 S Ridge St Port Sanilac MI 48469-9704 | |
| (810) 622-8230 | |
| Not Available |
| Full Name | Port Sanilac Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 245 S Ridge St, Port Sanilac, Michigan |
| Authorized Official Name and Position | Thomas Alan Simmons (PRESIDENT) |
| Authorized Official Contact | 8106228230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Sanilac Dental Care 245 S Ridge St Port Sanilac MI 48469-9704 Ph: () - | Port Sanilac Dental Care 245 S Ridge St Port Sanilac MI 48469-9704 Ph: (810) 622-8230 |
| NPI Number | 1043298433 |
|---|---|
| Provider Enumeration Date | 01/05/2006 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043298433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901012153 (Michigan) | Primary |