T.l.mikesell Dds, Pc | |
408 St Joseph Ave Suttons Bay MI 49682-0759 | |
(231) 271-3315 | |
(231) 271-3317 |
Full Name | T.l.mikesell Dds, Pc |
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Speciality | Clinic/center - Dental |
Location | 408 St Joseph Ave, Suttons Bay, Michigan |
Authorized Official Name and Position | Thor Lyn Mikesell (PRESIDENT) |
Authorized Official Contact | 2312713315 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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T.l.mikesell Dds, Pc Po Box 759 Suttons Bay MI 49682-0759 Ph: (231) 271-3315 | T.l.mikesell Dds, Pc 408 St Joseph Ave Suttons Bay MI 49682-0759 Ph: (231) 271-3315 |
NPI Number | 1841928207 |
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Provider Enumeration Date | 08/12/2022 |
Last Update Date | 08/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841928207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Suttons Bay Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1299 S West Bay Shore Dr, Suttons Bay, MI 49682 Phone: 231-271-6700 | |
West Bay Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 S West Bay Shore Dr, Suttons Bay, MI 49682 Phone: 231-271-4537 |