| Deerhaven Family Dentistry, P.l.c. | |
|
5217 N Royal Dr Traverse City MI 49684-6985 | |
| (231) 929-3606 | |
| (231) 929-0610 |
| Full Name | Deerhaven Family Dentistry, P.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5217 N Royal Dr, Traverse City, Michigan |
| Authorized Official Name and Position | Steven J Niergarth (OWNER) |
| Authorized Official Contact | 2319293606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deerhaven Family Dentistry, P.l.c. 5217 N Royal Dr Traverse City MI 49684-6985 Ph: (231) 929-3606 | Deerhaven Family Dentistry, P.l.c. 5217 N Royal Dr Traverse City MI 49684-6985 Ph: (231) 929-3606 |
| NPI Number | 1396878039 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396878039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14121 (Michigan) | Primary |
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