| Frederic N. Smith,d.d.s, M.s. & John F. Sivertson, D.d.s, M.s., P.c. | |
|
31636 Schoolcraft Rd Livonia MI 48150-1819 | |
| (734) 522-7313 | |
| (734) 522-3203 |
| Full Name | Frederic N. Smith,d.d.s, M.s. & John F. Sivertson, D.d.s, M.s., P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 31636 Schoolcraft Rd, Livonia, Michigan |
| Authorized Official Name and Position | John F. Sivertson (PRESIDENT) |
| Authorized Official Contact | 7345227313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederic N. Smith,d.d.s, M.s. & John F. Sivertson, D.d.s, M.s., P.c. 31636 Schoolcraft Rd Livonia MI 48150-1819 Ph: (734) 522-7313 | Frederic N. Smith,d.d.s, M.s. & John F. Sivertson, D.d.s, M.s., P.c. 31636 Schoolcraft Rd Livonia MI 48150-1819 Ph: (734) 522-7313 |
| NPI Number | 1871706663 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871706663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2901010031 (Michigan) | Primary |
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