| Bridge Street Smiles, Pllc | |
|
119 E Bridge St Portland MI 48875-1434 | |
| (517) 647-4511 | |
| Not Available |
| Full Name | Bridge Street Smiles, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 119 E Bridge St, Portland, Michigan |
| Authorized Official Name and Position | Renee Lyn-irey Owen (OWNER) |
| Authorized Official Contact | 5175261234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Street Smiles, Pllc 9645 Towner Rd Portland MI 48875-9481 Ph: (517) 526-1234 | Bridge Street Smiles, Pllc 119 E Bridge St Portland MI 48875-1434 Ph: (517) 647-4511 |
| NPI Number | 1316767163 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316767163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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