| Ouderkirk Dental Pllc | |
|
11970 Sweetwater Dr Grand Ledge MI 48837-8199 | |
| (517) 627-2470 | |
| Not Available |
| Full Name | Ouderkirk Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11970 Sweetwater Dr, Grand Ledge, Michigan |
| Authorized Official Name and Position | Evan Ouderkirk (MEMBER) |
| Authorized Official Contact | 5179171836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ouderkirk Dental Pllc 1028 Grenoble Cir Lansing MI 48917-4811 Ph: (517) 917-1836 | Ouderkirk Dental Pllc 11970 Sweetwater Dr Grand Ledge MI 48837-8199 Ph: (517) 627-2470 |
| NPI Number | 1003573403 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 11/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003573403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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