| Cascade Family Dentistry Pc | |
|
6883 Cascade Rd Se Grand Rapids MI 49546-6899 | |
| (616) 682-0147 | |
| Not Available |
| Full Name | Cascade Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6883 Cascade Rd Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Rosanne Scigliano Eggleston (PRESIDENT) |
| Authorized Official Contact | 6166820147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Family Dentistry Pc 6883 Cascade Rd Se Grand Rapids MI 49546-6899 Ph: (616) 682-0147 | Cascade Family Dentistry Pc 6883 Cascade Rd Se Grand Rapids MI 49546-6899 Ph: (616) 682-0147 |
| NPI Number | 1548213911 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548213911 | NPI | - | NPPES |
| J800194 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901015835 (Michigan) | Primary |
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