| Smile Ithaca Pllc | |
|
108 S Main St Ithaca MI 48847-1440 | |
| (989) 875-4832 | |
| Not Available |
| Full Name | Smile Ithaca Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 S Main St, Ithaca, Michigan |
| Authorized Official Name and Position | Darren Riopelle (OWNER, CEO) |
| Authorized Official Contact | 6165028023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Ithaca Pllc 128 Columbus Ave Grand Haven MI 49417-1224 Ph: (616) 268-2090 | Smile Ithaca Pllc 108 S Main St Ithaca MI 48847-1440 Ph: (989) 875-4832 |
| NPI Number | 1922677335 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922677335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
Gary A. Schluckebier, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 N Pine River St, Ithaca, MI 48847 Phone: 989-875-4721 Fax: 989-875-6018 | |
Pine River Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Pine River St, Ithaca, MI 48847 Phone: 989-875-2888 | |
Pine River Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Pine River St, Ithaca, MI 48847 Phone: 989-875-2888 Fax: 989-875-4604 | |
Darren M Riopelle Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 South Main Street, Ithaca, MI 48847 Phone: 989-875-4832 Fax: 989-875-3927 |