| Michael J. Carl, D.d.s., P.c. | |
|
26288 M 60 Mendon MI 49072-9702 | |
| (269) 496-8484 | |
| (269) 496-8485 |
| Full Name | Michael J. Carl, D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 26288 M 60, Mendon, Michigan |
| Authorized Official Name and Position | Michael John Carl (OWNER/DENTIST) |
| Authorized Official Contact | 2694968484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Carl, D.d.s., P.c. 26288 M 60 P.o. Box 527 Mendon MI 49072-9702 Ph: (269) 496-8484 | Michael J. Carl, D.d.s., P.c. 26288 M 60 Mendon MI 49072-9702 Ph: (269) 496-8484 |
| NPI Number | 1871029223 |
|---|---|
| Provider Enumeration Date | 05/04/2017 |
| Last Update Date | 05/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871029223 | NPI | - | NPPES |
| 13593 | Other | MI | STATE OF MICHIGAN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13593 (Michigan) | Primary |
Jm Dental Group Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 E Main St, Mendon, MI 49072 Phone: 269-496-8484 Fax: 269-659-8604 |