| Northern Periodontics & Implant Dentistry, P.c. | |
|
2115 M 119 Petoskey MI 49770-8914 | |
| (231) 347-2518 | |
| (231) 347-8530 |
| Full Name | Northern Periodontics & Implant Dentistry, P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2115 M 119, Petoskey, Michigan |
| Authorized Official Name and Position | Vaughn A Mcgraw (PRESIDENT) |
| Authorized Official Contact | 2313472518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Periodontics & Implant Dentistry, P.c. 2115 M 119 Petoskey MI 49770-8914 Ph: (231) 347-2518 | Northern Periodontics & Implant Dentistry, P.c. 2115 M 119 Petoskey MI 49770-8914 Ph: (231) 347-2518 |
| NPI Number | 1316299365 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316299365 | NPI | - | NPPES |
| 1750493896 | Medicaid | MI | |
| 1255443321 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2901010159 (Michigan) | Primary |
| 1223P0300X | Dentist - Periodontics | 2901014067 (Michigan) | Secondary |
Martinsondriscoll D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 M 119, Petoskey, MI 49770 Phone: 231-347-7471 Fax: 231-347-7836 | |
Susan Js Malone, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 State St, Petoskey, MI 49770 Phone: 231-347-6932 Fax: 231-347-0292 | |
Jonathan Dzingle Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 Petoskey St, Petoskey, MI 49770 Phone: 231-347-4145 | |
Northern Michigan Oral And Maxillofacial Surgery Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Bay St, Petoskey, MI 49770 Phone: 231-347-1601 | |
Brian Klym Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2044 E Mitchell Rd, Petoskey, MI 49770 Phone: 231-347-2188 Fax: 231-347-3206 | |
D Scott Eaton Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4144 Charlevoix Rd, Petoskey, MI 49770 Phone: 231-347-5055 Fax: 231-347-6141 |