| Dr. Tedders Office Pllc | |
|
3595 Ann Arbor Rd Jackson MI 49202-2703 | |
| (517) 748-9440 | |
| (517) 748-9442 |
| Full Name | Dr. Tedders Office Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3595 Ann Arbor Rd, Jackson, Michigan |
| Authorized Official Name and Position | Heidi Kies (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 5177489440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Tedders Office Pllc 3595 Ann Arbor Rd Jackson MI 49202-2703 Ph: (517) 748-9440 | Dr. Tedders Office Pllc 3595 Ann Arbor Rd Jackson MI 49202-2703 Ph: (517) 748-9440 |
| NPI Number | 1023681772 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023681772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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