Dr Charles Godfrey Norman Ii, DDS | |
6800 Newark Rd, Suite 200, Imlay City, MI 48444-9656 | |
(810) 721-7453 | |
Not Available |
Full Name | Dr Charles Godfrey Norman Ii |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 6800 Newark Rd, Imlay City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407905110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901017520 (Michigan) | Primary |
Entity Name | Great Lakes Bay Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871684761 PECOS PAC ID: 2466369046 Enrollment ID: O20040126000171 |
Mailing Address | Practice Location Address |
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Dr Charles Godfrey Norman Ii, DDS 6800 Newark Rd, Suite 200, Imlay City, MI 48444-9656 Ph: (810) 721-7453 | Dr Charles Godfrey Norman Ii, DDS 6800 Newark Rd, Suite 200, Imlay City, MI 48444-9656 Ph: (810) 721-7453 |
Dr. Aaron A. Fisher, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 216 E 3rd St, Imlay City, MI 48444 Phone: 810-724-8080 Fax: 810-724-3309 | |
Matthew Tissue, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6800 Newark Rd, Ste 400, Imlay City, MI 48444 Phone: 810-721-7453 Fax: 810-721-7454 | |
Dr. David Andrew Noffert, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6800 Newark Rd, #300, Imlay City, MI 48444 Phone: 810-724-3707 Fax: 810-724-1299 | |
Dr. Robert D. Young, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 110 W 3rd St, Imlay City, MI 48444 Phone: 810-724-6441 Fax: 810-724-8186 | |
Dr. Henry D. Nichols, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 216 E 3rd St, Imlay City, MI 48444 Phone: 810-724-8080 Fax: 810-724-3309 |