Smile Center | |
110 S Broadway St Cassopolis MI 49031-1243 | |
(269) 445-5550 | |
(269) 445-0101 |
Full Name | Smile Center |
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Speciality | Dentist - General Practice |
Location | 110 S Broadway St, Cassopolis, Michigan |
Authorized Official Name and Position | Heather Mcintyre (FINANCIAL COORDINATOR) |
Authorized Official Contact | 2694455550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile Center Po Box 8 Cassopolis MI 49031-0008 Ph: (269) 445-5550 | Smile Center 110 S Broadway St Cassopolis MI 49031-1243 Ph: (269) 445-5550 |
NPI Number | 1205372265 |
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Provider Enumeration Date | 01/16/2017 |
Last Update Date | 01/16/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205372265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2915566 (Michigan) | Primary |
Cassopolis Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 62225 M 62, Cassopolis, MI 49031 Phone: 269-445-8636 Fax: 269-445-2891 |