| David R Backus Dds | |
|
4633 Dow Ridge Rd Orchard Lake MI 48324-2326 | |
| (248) 683-8188 | |
| Not Available |
| Full Name | David R Backus Dds |
|---|---|
| Speciality | Dentist |
| Location | 4633 Dow Ridge Rd, Orchard Lake, Michigan |
| Authorized Official Name and Position | David Richard Backus (OWNER) |
| Authorized Official Contact | 2486838188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R Backus Dds 4633 Dow Ridge Rd Orchard Lake MI 48324-2326 Ph: (248) 683-8188 | David R Backus Dds 4633 Dow Ridge Rd Orchard Lake MI 48324-2326 Ph: (248) 683-8188 |
| NPI Number | 1194127258 |
|---|---|
| Provider Enumeration Date | 09/20/2014 |
| Last Update Date | 09/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194127258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901012277 (Michigan) | Primary |