| Shoreline Dental Pllc | |
|
1221 E Sherman Blvd Norton Shores MI 49444-1811 | |
| (231) 739-5105 | |
| (231) 739-7432 |
| Full Name | Shoreline Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1221 E Sherman Blvd, Norton Shores, Michigan |
| Authorized Official Name and Position | Elias J Achey (OWNER) |
| Authorized Official Contact | 2317395105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Dental Pllc 1221 E Sherman Blvd Norton Shores MI 49444-1811 Ph: (231) 739-5105 | Shoreline Dental Pllc 1221 E Sherman Blvd Norton Shores MI 49444-1811 Ph: (231) 739-5105 |
| NPI Number | 1013211093 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 07/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013211093 | NPI | - | NPPES |
| 2901019459 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901019459 (Michigan) | Primary |
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