| State Street Smiles Pllc | |
|
300 S State St Ste 2 Zeeland MI 49464-1677 | |
| (616) 322-5491 | |
| Not Available |
| Full Name | State Street Smiles Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 300 S State St Ste 2, Zeeland, Michigan |
| Authorized Official Name and Position | Austin Robert Stebbins (OWNER/PRESIDENT/CEO) |
| Authorized Official Contact | 6163225491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Street Smiles Pllc 4709 Camden Dr Hudsonville MI 49426-7387 Ph: (616) 322-5491 | State Street Smiles Pllc 300 S State St Ste 2 Zeeland MI 49464-1677 Ph: (616) 322-5491 |
| NPI Number | 1659123040 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659123040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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