Dr Matthew P Durham, DDS | |
2700 5 Mile Rd Ne, Ste. #201, Grand Rapids, MI 49525-1710 | |
(616) 361-1727 | |
(616) 361-1455 |
Full Name | Dr Matthew P Durham |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 2700 5 Mile Rd Ne, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003960436 | NPI | - | NPPES |
4361190 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 290107668 (Michigan) | Primary |
Entity Name | Durham & Mehling Dds Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023097474 PECOS PAC ID: 5991007346 Enrollment ID: O20151231001698 |
Mailing Address | Practice Location Address |
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Dr Matthew P Durham, DDS 2700 5 Mile Nerd 201, Grand Rapids, MI 49525-6516 Ph: (616) 361-1727 | Dr Matthew P Durham, DDS 2700 5 Mile Rd Ne, Ste. #201, Grand Rapids, MI 49525-1710 Ph: (616) 361-1727 |
Dr. Robert Graham Greenland, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1179 E Paris Ave Se Ste 100, Grand Rapids, MI 49546 Phone: 616-256-8770 Fax: 616-327-7452 | |
Dr. Randy James Breen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 515 Lakeside Dr Se, #208, Grand Rapids, MI 49506 Phone: 616-454-9091 Fax: 616-454-1159 | |
Dr. Mary Bernona Stevens, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1172 Nixon Ave Nw, Grand Rapids, MI 49544 Phone: 616-453-0644 Fax: 616-453-0640 | |
Dr. Robert L Kintz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2144 E Paris Ave Se, Suite 150, Grand Rapids, MI 49546 Phone: 616-942-2000 Fax: 616-942-6805 | |
Joseph Williams, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 101 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-776-2340 | |
Dr. Mark Louis Salhaney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4500 Cascade Rd Se, Ste. 107, Grand Rapids, MI 49546 Phone: 616-957-1304 Fax: 616-957-4757 |