| Stout And Gordon Family Dentistry | |
|
12723 N Bellwood St Suite 30 Holland MI 49424-7275 | |
| (616) 399-8230 | |
| (616) 399-8374 |
| Full Name | Stout And Gordon Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12723 N Bellwood St, Holland, Michigan |
| Authorized Official Name and Position | Daniel Gordon (DENTIST) |
| Authorized Official Contact | 6163998230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stout And Gordon Family Dentistry 12723 N Bellwood St Suite 30 Holland MI 49424-7275 Ph: (616) 399-8230 | Stout And Gordon Family Dentistry 12723 N Bellwood St Suite 30 Holland MI 49424-7275 Ph: (616) 399-8230 |
| NPI Number | 1063537173 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063537173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901018180 (Michigan) | Primary |
| 1223G0001X | Dentist - General Practice | 2901014148 (Michigan) | Secondary |
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