| Smiles On Wheels | |
|
122 Highland Drive Jackson MI 49201 | |
| (517) 704-2596 | |
| (517) 740-2596 |
| Full Name | Smiles On Wheels |
|---|---|
| Speciality | Dentist |
| Location | 122 Highland Drive, Jackson, Michigan |
| Authorized Official Name and Position | Kim Crabtree (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5177402596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On Wheels 7040 Mckay Jackson MI 49201 Ph: (517) 740-2596 | Smiles On Wheels 122 Highland Drive Jackson MI 49201 Ph: (517) 704-2596 |
| NPI Number | 1477611234 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477611234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901007028 (Michigan) | Primary |
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