| Ravenna Family Dentistry | |
|
12374 Stafford St Ravenna MI 49451-5104 | |
| (231) 853-6618 | |
| (231) 853-8043 |
| Full Name | Ravenna Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12374 Stafford St, Ravenna, Michigan |
| Authorized Official Name and Position | Daniel Meeuwsen (MANAGING PARTNER) |
| Authorized Official Contact | 2318536618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravenna Family Dentistry 12374 Stafford St Po Box 204 Ravenna MI 49451-5104 Ph: (231) 853-6618 | Ravenna Family Dentistry 12374 Stafford St Ravenna MI 49451-5104 Ph: (231) 853-6618 |
| NPI Number | 1922408434 |
|---|---|
| Provider Enumeration Date | 09/03/2014 |
| Last Update Date | 09/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922408434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Michigan) | Primary |
Craig R Cameron Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12374 Stafford Street, Ravenna, MI 49451 Phone: 231-853-6618 Fax: 231-853-2143 |