| Van Buren/cass District Health Department | |
|
302 South Front Street Dowagiac MI 49047-1762 | |
| (269) 782-0064 | |
| (269) 782-0121 |
| Full Name | Van Buren/cass District Health Department |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 302 South Front Street, Dowagiac, Michigan |
| Authorized Official Name and Position | Jeffery L Elliott (HEALTH OFFICER/ADMINISTRATOR) |
| Authorized Official Contact | 2696213143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Buren/cass District Health Department 57418 County Road 681 Suite A Hartford MI 49057-9421 Ph: (269) 621-3143 | Van Buren/cass District Health Department 302 South Front Street Dowagiac MI 49047-1762 Ph: (269) 782-0064 |
| NPI Number | 1982796140 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982796140 | NPI | - | NPPES |
| 4977200 | Medicaid | MI | |
| 4304111 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
Dowagiac Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Riverside Dr, Dowagiac, MI 49047 Phone: 269-782-5161 Fax: 269-782-1126 |