| Westnedge Family Dentistry | |
|
3907 S Westnedge Ave Kalamazoo MI 49008-3187 | |
| (269) 345-8893 | |
| (269) 492-1710 |
| Full Name | Westnedge Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3907 S Westnedge Ave, Kalamazoo, Michigan |
| Authorized Official Name and Position | David Charles Sackett (DENTIST) |
| Authorized Official Contact | 2693458893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westnedge Family Dentistry 3907 S Westnedge Ave Kalamazoo MI 49008-3187 Ph: (269) 345-8893 | Westnedge Family Dentistry 3907 S Westnedge Ave Kalamazoo MI 49008-3187 Ph: (269) 345-8893 |
| NPI Number | 1013074095 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013074095 | NPI | - | NPPES |
| 16115 | Other | MI | MI DELTA DENTAL # JUNGBLU |
| 3273360 | Medicaid | MI | |
| 17761 | Other | MI | MASON-DELTA DENTAL MI |
| 2901016115 | Other | MI | TIM JUNGBLUT STATE LICENS |
| 2901017761 | Other | MI | LICENSE # |
| 2901014741 | Other | MI | LICENSE |
| 14741 | Other | MI | SACKETT-DELTA DENTAL # |
| 3273324 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14741 (Michigan) | Primary |
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