| Midtowne Smiles Pc | |
| 
					555 Midtowne St. Ne Ste 104 Grand Rapids MI 49503-5731  | |
| (616) 784-9150 | |
| Not Available | 
| Full Name | Midtowne Smiles Pc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 555 Midtowne St. Ne, Grand Rapids, Michigan | 
| Authorized Official Name and Position | Julie May (OFFICE MANAGER) | 
| Authorized Official Contact | 6167849150 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Midtowne Smiles Pc 555 Midtowne St. Ne Ste 104 Grand Rapids MI 49503-5731 Ph: (616) 784-9150  | Midtowne Smiles Pc 555 Midtowne St. Ne Ste 104 Grand Rapids MI 49503-5731 Ph: (616) 784-9150  | 
| NPI Number | 1114655156 | 
|---|---|
| Provider Enumeration Date | 08/09/2022 | 
| Last Update Date | 08/09/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1114655156 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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