| Dentistry By Design Of Jackson, Plc | |
|
306 W Washington Ave Ste 205 Jackson MI 49201-2141 | |
| (517) 787-5055 | |
| (517) 787-9346 |
| Full Name | Dentistry By Design Of Jackson, Plc |
|---|---|
| Speciality | Dentist |
| Location | 306 W Washington Ave Ste 205, Jackson, Michigan |
| Authorized Official Name and Position | Andrew James Balaze (DENTIST/OWNER) |
| Authorized Official Contact | 5177875055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry By Design Of Jackson, Plc 306 W Washington Ave Ste 205 Jackson MI 49201-2141 Ph: (517) 787-5055 | Dentistry By Design Of Jackson, Plc 306 W Washington Ave Ste 205 Jackson MI 49201-2141 Ph: (517) 787-5055 |
| NPI Number | 1396276333 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 08/07/2019 |
| Medicare PECOS PAC ID | 3274947593 |
|---|---|
| Medicare Enrollment ID | O20210128000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396276333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901020967 (Michigan) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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