| Mallais Dental Pllc | |
|
1049 N Pine Rd Essexville MI 48732-1915 | |
| (989) 894-4611 | |
| (989) 894-2669 |
| Full Name | Mallais Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1049 N Pine Rd, Essexville, Michigan |
| Authorized Official Name and Position | Terra Shannon Mallais (OWNER/DENTIST) |
| Authorized Official Contact | 9898944611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallais Dental Pllc 1049 N Pine Rd Essexville MI 48732-1915 Ph: (989) 894-4611 | Mallais Dental Pllc 1049 N Pine Rd Essexville MI 48732-1915 Ph: (989) 894-4611 |
| NPI Number | 1134505746 |
|---|---|
| Provider Enumeration Date | 08/05/2015 |
| Last Update Date | 08/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134505746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901020258 (Michigan) | Primary |
Darrell M. Sheets, Dmd Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 W Center Rd, Essexville, MI 48732 Phone: 989-895-7475 Fax: 989-895-7485 |