| Suter Michigan Pllc | |
|
8475 Sparta Line Rd Nw Ste C Sparta MI 49345-8159 | |
| (866) 988-4504 | |
| (866) 815-3719 |
| Full Name | Suter Michigan Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8475 Sparta Line Rd Nw Ste C, Sparta, Michigan |
| Authorized Official Name and Position | Benjamin Tiggelaar (AUTHORIZED AGENT) |
| Authorized Official Contact | 8669884504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suter Michigan Pllc 5555 N Lamar Blvd Ste H125 Austin TX 78751-1096 Ph: (866) 988-4504 | Suter Michigan Pllc 8475 Sparta Line Rd Nw Ste C Sparta MI 49345-8159 Ph: (866) 988-4504 |
| NPI Number | 1558015750 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558015750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Knowlton & Mcfall Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9161 Sparta Ave Nw, Sparta, MI 49345 Phone: 616-887-7389 Fax: 616-887-7425 | |
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