| Great Northern Dental Assoc Pc | |
|
1100 1st Ave North Escanaba MI 49829 | |
| (906) 786-3814 | |
| (906) 786-3881 |
| Full Name | Great Northern Dental Assoc Pc |
|---|---|
| Speciality | Dentist |
| Location | 1100 1st Ave North, Escanaba, Michigan |
| Authorized Official Name and Position | Gary W Bradley (PRESIDENT) |
| Authorized Official Contact | 9067863814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Northern Dental Assoc Pc 1100 1st Ave North Escanaba MI 49829 Ph: (906) 786-3814 | Great Northern Dental Assoc Pc 1100 1st Ave North Escanaba MI 49829 Ph: (906) 786-3814 |
| NPI Number | 1013011139 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013011139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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