| L Van Ameyde Dds, Pc | |
|
51745 Van Dyke Shelby Twp MI 48316 | |
| (586) 323-1600 | |
| (586) 323-1644 |
| Full Name | L Van Ameyde Dds, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 51745 Van Dyke, Shelby Twp, Michigan |
| Authorized Official Name and Position | Larry Van Ameyde (ORAL SURGEON) |
| Authorized Official Contact | 5863231600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L Van Ameyde Dds, Pc 51745 Van Dyke Shelby Twp MI 48316 Ph: (586) 323-1600 | L Van Ameyde Dds, Pc 51745 Van Dyke Shelby Twp MI 48316 Ph: (586) 323-1600 |
| NPI Number | 1700064847 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700064847 | NPI | - | NPPES |
| 9755011140 | Other | MI | BCBS ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10374 (Michigan) | Primary |
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