| Northern Michigan Pediatric Dentistry | |
|
4944 Skyview Ct Traverse City MI 49684-7173 | |
| (231) 947-4566 | |
| Not Available |
| Full Name | Northern Michigan Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4944 Skyview Ct, Traverse City, Michigan |
| Authorized Official Name and Position | James M Van Wingen (DENTIST) |
| Authorized Official Contact | 2319474566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Michigan Pediatric Dentistry 4944 Skyview Ct Traverse City MI 49684-7173 Ph: (231) 947-4566 | Northern Michigan Pediatric Dentistry 4944 Skyview Ct Traverse City MI 49684-7173 Ph: (231) 947-4566 |
| NPI Number | 1275685265 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275685265 | NPI | - | NPPES |
| 4457700 | Other | MI | MEDICAID |
| D158620 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901017484 (Michigan) | Primary |
Grand Traverse Oral Surgery, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12776 S West Bay Shore Dr, Traverse City, MI 49684 Phone: 231-946-3512 Fax: 231-946-1908 | |
Northway And Hall Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12776 S West Bay Shore Dr, Traverse City, MI 49684 Phone: 231-946-0070 Fax: 231-946-6026 | |
Dentistry For Northern Michigan Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 932 E Eighth St, Traverse City, MI 49686 Phone: 231-947-8586 Fax: 231-947-8115 | |
East Bay Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 862 Munson Ave, Traverse City, MI 49686 Phone: 231-946-4443 Fax: 231-932-2260 | |
Peter W. Piche, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E State St, Traverse City, MI 49684 Phone: 231-947-2716 Fax: 231-947-2352 | |
Brian R. Fisher Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 843 S Garfield Ave, Traverse City, MI 49686 Phone: 231-941-1898 | |
Grandview Dental Associates Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Second St, Traverse City, MI 49684 Phone: 231-922-0775 |