| Dr. Eldib, Pllc | |
|
1515 E Us Highway 223 Ste G Adrian MI 49221-4456 | |
| (517) 264-2700 | |
| (517) 264-2744 |
| Full Name | Dr. Eldib, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1515 E Us Highway 223 Ste G, Adrian, Michigan |
| Authorized Official Name and Position | Jason Bertollini (PRM) |
| Authorized Official Contact | 8662738204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Eldib, Pllc Po Box 3189 Syracuse NY 13220-3189 Ph: (866) 273-8204 | Dr. Eldib, Pllc 1515 E Us Highway 223 Ste G Adrian MI 49221-4456 Ph: (517) 264-2700 |
| NPI Number | 1437549425 |
|---|---|
| Provider Enumeration Date | 01/28/2015 |
| Last Update Date | 01/28/2015 |
| Medicare PECOS PAC ID | 1557760352 |
|---|---|
| Medicare Enrollment ID | O20210527002150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437549425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21060 (Michigan) | Primary |
| Provider Name | Ahmed N Eldib |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699117762 PECOS PAC ID: 5698071363 Enrollment ID: I20210526002827 |
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