| Smile Doctors Of Michigan Pc | |
|
13945 Panther Dr Dewitt MI 48820-8506 | |
| (517) 669-5833 | |
| Not Available |
| Full Name | Smile Doctors Of Michigan Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 13945 Panther Dr, Dewitt, Michigan |
| Authorized Official Name and Position | Gregory Goggans (PRESIDENT) |
| Authorized Official Contact | 2547273131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Doctors Of Michigan Pc Po Box 674441 Dallas TX 75267-4441 Ph: (254) 727-3131 | Smile Doctors Of Michigan Pc 13945 Panther Dr Dewitt MI 48820-8506 Ph: (517) 669-5833 |
| NPI Number | 1376163345 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 05/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376163345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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