| Four Seasons Dental Associates Pllc | |
|
301 Main St Lake City MI 49651-0589 | |
| (231) 839-4673 | |
| (231) 839-7874 |
| Full Name | Four Seasons Dental Associates Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 Main St, Lake City, Michigan |
| Authorized Official Name and Position | Dennis E Bushon (MEMBER) |
| Authorized Official Contact | 2318394673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Seasons Dental Associates Pllc Po Box 589 301 Main St Lake City MI 49651-0589 Ph: (231) 839-4673 | Four Seasons Dental Associates Pllc 301 Main St Lake City MI 49651-0589 Ph: (231) 839-4673 |
| NPI Number | 1821165499 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821165499 | NPI | - | NPPES |
| 8011320 | Other | BCBS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Judy Wybenga, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Main St, Lake City, MI 49651 Phone: 231-839-4673 Fax: 231-838-7874 | |
Lake City Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 S Canal St, Lake City, MI 49651 Phone: 231-839-2630 Fax: 231-839-5751 | |
Lake City Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 S Canal St, Lake City, MI 49651 Phone: 231-839-2630 Fax: 231-839-5751 |