| Portage Dental Health | |
|
896 Campus Drive Hancock MI 49930-1571 | |
| (906) 482-8527 | |
| (906) 482-7334 |
| Full Name | Portage Dental Health |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 896 Campus Drive, Hancock, Michigan |
| Authorized Official Name and Position | Robert D Richards (PRESIDENT) |
| Authorized Official Contact | 9064828527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Dental Health 896 Campus Drive Hancock MI 49930-1571 Ph: (906) 482-8527 | Portage Dental Health 896 Campus Drive Hancock MI 49930-1571 Ph: (906) 482-8527 |
| NPI Number | 1427164680 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427164680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Michigan) | Primary |
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