| Pro Dental Mi 1 Pc | |
|
1074 Jackson Xing Jackson MI 49202-2039 | |
| (517) 841-0000 | |
| (517) 841-0180 |
| Full Name | Pro Dental Mi 1 Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1074 Jackson Xing, Jackson, Michigan |
| Authorized Official Name and Position | Simone Wilson-adeleke (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7327318398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Dental Mi 1 Pc 10 Woodbridge Center Dr Ste 520 Woodbridge NJ 07095-1152 Ph: (732) 731-8398 | Pro Dental Mi 1 Pc 1074 Jackson Xing Jackson MI 49202-2039 Ph: (517) 841-0000 |
| NPI Number | 1437986700 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437986700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Wyatt And Pound Family Dentistry, P.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2885 Spring Arbor Rd, Jackson, MI 49203 Phone: 517-787-0900 Fax: 517-787-6363 | |
Dr. Tedders Office Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3595 Ann Arbor Rd, Jackson, MI 49202 Phone: 517-748-9440 Fax: 517-748-9442 | |
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Richard L. Carpenter, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2532 Spring Arbor Rd, Unit 4, Jackson, MI 49203 Phone: 517-789-8622 Fax: 517-789-8636 | |
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