| Professional Dental Associates Pc | |
|
415 South State Street Big Rapids MI 49307-2049 | |
| (231) 796-3571 | |
| (231) 796-2211 |
| Full Name | Professional Dental Associates Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 415 South State Street, Big Rapids, Michigan |
| Authorized Official Name and Position | Kevin Todd Mathewson (DENTIST OWNER) |
| Authorized Official Contact | 2317963571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Associates Pc 415 South State Street Big Rapids MI 49307-2049 Ph: (231) 796-3571 | Professional Dental Associates Pc 415 South State Street Big Rapids MI 49307-2049 Ph: (231) 796-3571 |
| NPI Number | 1992863401 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992863401 | NPI | - | NPPES |
| D8012370 | Other | MI | BCBS |
| 1883236 | Other | MI | UNITED CONCORDIA |
| D802980 | Other | MI | BCBS |
| D8012380 | Other | MI | BCBS |
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