| Lakeside Pediatric Dental Specialists | |
|
1952 Holland Ave Port Huron MI 48060-1520 | |
| (810) 985-9660 | |
| (810) 985-9666 |
| Full Name | Lakeside Pediatric Dental Specialists |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1952 Holland Ave, Port Huron, Michigan |
| Authorized Official Name and Position | Phillip Glenn Monroy (OWNER) |
| Authorized Official Contact | 8109859660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Pediatric Dental Specialists 1952 Holland Ave Port Huron MI 48060-1520 Ph: (810) 985-9660 | Lakeside Pediatric Dental Specialists 1952 Holland Ave Port Huron MI 48060-1520 Ph: (810) 985-9660 |
| NPI Number | 1891194379 |
|---|---|
| Provider Enumeration Date | 08/20/2014 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891194379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901018671 (Michigan) | Primary |
Family Dentists, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 Holland Avenue, Port Huron, MI 48060 Phone: 810-987-8310 | |
Lawrence H. Beck Dds Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1903 10th Ave, Port Huron, MI 48060 Phone: 810-985-3200 Fax: 810-985-3752 | |
County Of St Clair Dental Clinic Medicare: Medicare Enrolled Practice Location: 220 Fort St, Port Huron, MI 48060 Phone: 810-987-5300 Fax: 810-985-2150 | |
Randa Jundi-samman Dmd & Alister M Mackenzie Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 Sedgwick St, Port Huron, MI 48060 Phone: 810-984-2742 Fax: 810-984-8934 | |
David M Lomasney Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Huron Avenue, Port Huron, MI 48060 Phone: 810-989-4746 Fax: 810-982-2209 | |
Michigan Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 Michigan Street, Optional, Port Huron, MI 48060 Phone: 810-987-8711 | |
Carolan Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Superior St, Port Huron, MI 48060 Phone: 810-982-7682 Fax: 810-984-2653 |