| 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 |
Northwest Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 W Parnall Rd, Suite D, Jackson, MI 49201 Phone: 517-817-2222 Fax: 517-817-2295 | |
Wyatt And Pound Family Dentistry, P.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2885 Spring Arbor Rd, Jackson, MI 49203 Phone: 517-787-0900 Fax: 517-787-6363 | |
Dr. Tedders Office Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3595 Ann Arbor Rd, Jackson, MI 49202 Phone: 517-748-9440 Fax: 517-748-9442 | |
Iocca Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2555 Spring Arbor Rd, Jackson, MI 49203 Phone: 517-787-5210 Fax: 517-787-9223 | |
Richard L. Carpenter, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2532 Spring Arbor Rd, Unit 4, Jackson, MI 49203 Phone: 517-789-8622 Fax: 517-789-8636 | |
Lifetime Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2528 Spring Arbor Rd, Jackson, MI 49203 Phone: 517-787-9171 | |
Iocca Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Spring Arbor Rd Ste A, Jackson, MI 49203 Phone: 517-787-5210 Fax: 517-787-9223 |