| Dr Wallace Spurgeon Colvin Iii, DDS | |
|
69 Southbound Gratiot Ave, Mount Clemens, MI 48043-5545 | |
| (586) 783-7000 | |
| (586) 783-7003 |
| Full Name | Dr Wallace Spurgeon Colvin Iii |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 69 Southbound Gratiot Ave, Mount Clemens, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730247222 | NPI | - | NPPES |
| 4263930 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901016347 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wallace Spurgeon Colvin Iii, DDS 69 Southbound Gratiot Ave, Mount Clemens, MI 48043-5545 Ph: (586) 783-7000 | Dr Wallace Spurgeon Colvin Iii, DDS 69 Southbound Gratiot Ave, Mount Clemens, MI 48043-5545 Ph: (586) 783-7000 |
Dr. Patricia A Burness, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1448 Southbound Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-954-3840 Fax: 586-954-3843 | |
Dr. Robert Lawrence Schwarb, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 233 Southbound Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-783-8383 | |
Dr. Harold P. Krauseneck, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 53 Southbound Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-468-5025 Fax: 586-468-5008 | |
Dr. Danielle Lucy Dawisha, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 233 Southbound Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-783-8383 | |
Dr. Paul Edwin Otto, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 233 Southbound Gratiot, Mount Clemens, MI 48043 Phone: 586-465-6503 Fax: 586-465-6504 | |
Dr. Kyle Missant, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 53 Southbound Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-468-5025 | |
Dr. Kimberly Marion Barbour, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 312 Crocker Blvd, Mount Clemens, MI 48043 Phone: 586-469-6336 |