| Traverse Dental Associates, Pllc | |
|
555 South Garfield Ave Traverse City MI 49686-3423 | |
| (231) 947-0210 | |
| (231) 947-6770 |
| Full Name | Traverse Dental Associates, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 555 South Garfield Ave, Traverse City, Michigan |
| Authorized Official Name and Position | Christopher D Mazzola (OWNER) |
| Authorized Official Contact | 7346571854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traverse Dental Associates, Pllc 555 South Garfield Ave Traverse City MI 49686-3423 Ph: (231) 947-0210 | Traverse Dental Associates, Pllc 555 South Garfield Ave Traverse City MI 49686-3423 Ph: (231) 947-0210 |
| NPI Number | 1336171800 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 0446635692 |
|---|---|
| Medicare Enrollment ID | O20220923002038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336171800 | NPI | - | NPPES |
| Provider Name | David W Swan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174618870 PECOS PAC ID: 4082770268 Enrollment ID: I20110323000553 |
| Provider Name | Macare E Lumbrezer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1457519092 PECOS PAC ID: 2769667096 Enrollment ID: I20110429000430 |
| Provider Name | Christopher D Mazzola |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427285758 PECOS PAC ID: 2769601038 Enrollment ID: I20140918001279 |
| Provider Name | Joshua C Vanhorn |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932460946 PECOS PAC ID: 2668691940 Enrollment ID: I20140918001346 |
| Provider Name | Christina M Mazzola |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811124894 PECOS PAC ID: 1850510157 Enrollment ID: I20140918002019 |
Grand Traverse Oral Surgery, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12776 S West Bay Shore Dr, Traverse City, MI 49684 Phone: 231-946-3512 Fax: 231-946-1908 | |
Northway And Hall Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12776 S West Bay Shore Dr, Traverse City, MI 49684 Phone: 231-946-0070 Fax: 231-946-6026 | |
Dentistry For Northern Michigan Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 932 E Eighth St, Traverse City, MI 49686 Phone: 231-947-8586 Fax: 231-947-8115 | |
East Bay Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 862 Munson Ave, Traverse City, MI 49686 Phone: 231-946-4443 Fax: 231-932-2260 | |
Peter W. Piche, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E State St, Traverse City, MI 49684 Phone: 231-947-2716 Fax: 231-947-2352 | |
Brian R. Fisher Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 843 S Garfield Ave, Traverse City, MI 49686 Phone: 231-941-1898 | |
Grandview Dental Associates Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Second St, Traverse City, MI 49684 Phone: 231-922-0775 |