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6123 Harvey St Norton Shores MI 49444-6728 | |
| (667) 458-9821 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Oral And Maxillofacial Surgery |
| Location | 6123 Harvey St, Norton Shores, Michigan |
| Authorized Official Name and Position | Christopher John Sortman (OWNER) |
| Authorized Official Contact | 4109083652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6123 Harvey St Norton Shores MI 49444-6728 Ph: (667) 458-9821 | 6123 Harvey St Norton Shores MI 49444-6728 Ph: (667) 458-9821 |
| NPI Number | 1891297057 |
|---|---|
| Provider Enumeration Date | 03/05/2018 |
| Last Update Date | 09/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891297057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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Ideal Dentistry Of Norton Shores Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 Seminole Rd Ste 102, Norton Shores, MI 49441 Phone: 231-780-1100 | |
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West Shore Oral & Maxillofacial Surgery Associates, Plc Dental Clinic Medicare: Medicare Enrolled Practice Location: 5957 Harvey St, Norton Shores, MI 49444 Phone: 231-733-1571 Fax: 231-733-5228 | |
Taryn K. Harreld, D.d.s., M.s., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3579 Henry St, Suite 120, Norton Shores, MI 49441 Phone: 231-733-4494 | |
Randy L Bisping Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3579 Henry St, Suite 140, Norton Shores, MI 49441 Phone: 231-739-1215 Fax: 231-737-2347 |