| Gary H. Dwight, D.d.s., P.c. | |
|
818 W Lake Lansing Rd East Lansing MI 48823-1308 | |
| (517) 333-9500 | |
| (517) 333-9509 |
| Full Name | Gary H. Dwight, D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 818 W Lake Lansing Rd, East Lansing, Michigan |
| Authorized Official Name and Position | Gary H Dwight (PRESIDENT) |
| Authorized Official Contact | 5173339500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary H. Dwight, D.d.s., P.c. 818 W Lake Lansing Rd East Lansing MI 48823-1308 Ph: (517) 333-9500 | Gary H. Dwight, D.d.s., P.c. 818 W Lake Lansing Rd East Lansing MI 48823-1308 Ph: (517) 333-9500 |
| NPI Number | 1023296571 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 03/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023296571 | NPI | - | NPPES |
| 200000001267 | Other | MI | PHP |
| 4045412 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10120 (Michigan) | Primary |
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