| Richard M. Dawdy, Dds Pllc | |
|
1100 E Miller Rd Lansing MI 48911-5311 | |
| (517) 393-1131 | |
| (517) 393-0404 |
| Full Name | Richard M. Dawdy, Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1100 E Miller Rd, Lansing, Michigan |
| Authorized Official Name and Position | Richard Michael Dawdy (OWNER) |
| Authorized Official Contact | 5173931131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard M. Dawdy, Dds Pllc 1100 E Miller Rd Lansing MI 48911-5311 Ph: (517) 393-1131 | Richard M. Dawdy, Dds Pllc 1100 E Miller Rd Lansing MI 48911-5311 Ph: (517) 393-1131 |
| NPI Number | 1942684899 |
|---|---|
| Provider Enumeration Date | 07/09/2015 |
| Last Update Date | 07/09/2015 |
| Medicare PECOS PAC ID | 5496065146 |
|---|---|
| Medicare Enrollment ID | O20151109000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942684899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901011487 (Michigan) | Primary |
| Provider Name | Richard Michael Dawdy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962570135 PECOS PAC ID: 1658681309 Enrollment ID: I20151109000937 |
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