| Lakeside Smiles, Pllc | |
|
200 N Maple St Fennville MI 49408-8478 | |
| (269) 561-2904 | |
| Not Available |
| Full Name | Lakeside Smiles, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 N Maple St, Fennville, Michigan |
| Authorized Official Name and Position | Michael E Meyer (MEMBER) |
| Authorized Official Contact | 2695612904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Smiles, Pllc 200 N Maple St Po Box 506 Fennville MI 49408-8478 Ph: (269) 561-2904 | Lakeside Smiles, Pllc 200 N Maple St Fennville MI 49408-8478 Ph: (269) 561-2904 |
| NPI Number | 1124417928 |
|---|---|
| Provider Enumeration Date | 01/16/2015 |
| Last Update Date | 01/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124417928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13870 (Michigan) | Primary |
Sharp Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 E 1st St, Fennville, MI 49408 Phone: 269-561-8661 |