Dr Scott Allen Mortimer, DDS | |
4495 S Center Rd, Burton, MI 48519-1417 | |
(810) 743-5131 | |
(810) 743-1111 |
Full Name | Dr Scott Allen Mortimer |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 4495 S Center Rd, Burton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861439978 | NPI | - | NPPES |
2917015 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901014445 (Michigan) | Primary |
Entity Name | Mortimer Family Dentistry Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417121732 PECOS PAC ID: 2163616913 Enrollment ID: O20101105000177 |
Mailing Address | Practice Location Address |
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Dr Scott Allen Mortimer, DDS 4495 S Center Rd, Burton, MI 48519-1417 Ph: (810) 743-5131 | Dr Scott Allen Mortimer, DDS 4495 S Center Rd, Burton, MI 48519-1417 Ph: (810) 743-5131 |
Dr. David Charles Bonadeo, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: G3280 S Grand Traverse St, Burton, MI 48529 Phone: 810-744-4400 Fax: 810-744-1314 | |
Sanjay Agrawal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5475 Davison Rd, Burton, MI 48509 Phone: 810-736-9778 Fax: 810-736-3269 | |
Dr. Linda M Park, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4300 E Court St, Burton, MI 48509 Phone: 810-742-5140 Fax: 810-742-6650 | |
William H Moon Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 1481 S Center Rd, Burton, MI 48509 Phone: 810-744-2982 Fax: 810-744-2983 | |
Dr. Nazanin Tanha, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1080 Creekwood Trl, Burton, MI 48509 Phone: 810-743-4536 | |
Dr. Ryan Kenneth Rawlings, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1200 Creekwood Trl, Burton, MI 48509 Phone: 810-743-1774 | |
Dr. Carl I. Schwartz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2414 S Center Rd, Burton, MI 48519 Phone: 810-744-3388 Fax: 810-744-4080 |