| Sault Dental Association | |
|
709 Johnston St Sault Sainte Marie MI 49783-2335 | |
| (906) 635-6020 | |
| (906) 635-7687 |
| Full Name | Sault Dental Association |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 709 Johnston St, Sault Sainte Marie, Michigan |
| Authorized Official Name and Position | Clayton C Shunk (GENERAL PARTNER) |
| Authorized Official Contact | 9066356020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sault Dental Association 709 Johnston St Sault Sainte Marie MI 49783 Ph: (906) 635-6020 | Sault Dental Association 709 Johnston St Sault Sainte Marie MI 49783-2335 Ph: (906) 635-6020 |
| NPI Number | 1114101318 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 12/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114101318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901014320 (Michigan) | Primary |
| 1223G0001X | Dentist - General Practice | 2901010627 (Michigan) | Secondary |
Kevin P Cooper Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Brady Street, Sault Sainte Marie, MI 49783 Phone: 906-632-0074 Fax: 906-632-0081 | |
Sault Tribe Of Chippewa Indians Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2864 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-5200 Fax: 906-632-5276 | |
Mitigoons Dental Dental Clinic Medicare: Medicare Enrolled Practice Location: 204 E Portage Ave, Sault Sainte Marie, MI 49783 Phone: 906-248-5527 Fax: 906-248-5765 | |
Sault High Adolescent Care Center (shacc) Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Marquette Ave, Room 622, Sault Sainte Marie, MI 49783 Phone: 906-632-5690 Fax: 906-635-1325 |