| Durham & Mehling Dds Pc | |
|
2700 5 Mile Ne Ste 201 Grand Rapids MI 49525-1797 | |
| (616) 361-1727 | |
| (616) 361-1455 |
| Full Name | Durham & Mehling Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 2700 5 Mile Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Michael Vincent Mehling (VICE PRESIDENT) |
| Authorized Official Contact | 6163045853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Durham & Mehling Dds Pc 2700 5 Mile Ne Ste 201 Grand Rapids MI 49525-1797 Ph: (616) 361-1727 | Durham & Mehling Dds Pc 2700 5 Mile Ne Ste 201 Grand Rapids MI 49525-1797 Ph: (616) 361-1727 |
| NPI Number | 1023097474 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 01/05/2016 |
| Medicare PECOS PAC ID | 5991007346 |
|---|---|
| Medicare Enrollment ID | O20151231001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023097474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Michigan) | Primary |
| Provider Name | Michael Vincent Mehling |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184618423 PECOS PAC ID: 3678875515 Enrollment ID: I20160108001213 |
| Provider Name | Matthew Paul Durham |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003960436 PECOS PAC ID: 8022310960 Enrollment ID: I20160108002223 |
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