| Patient Dentistry,p.c. | |
|
113 South Kalamazoo St. White Pigeon MI 49099 | |
| (269) 483-9621 | |
| (269) 483-2569 |
| Full Name | Patient Dentistry,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 113 South Kalamazoo St., White Pigeon, Michigan |
| Authorized Official Name and Position | Patrick William Goodman (PRESIDENT) |
| Authorized Official Contact | 2694839621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Dentistry,p.c. 113 South Kalamazoo St. P.o. Box 695 White Pigeon MI 49099 Ph: (269) 483-9621 | Patient Dentistry,p.c. 113 South Kalamazoo St. White Pigeon MI 49099 Ph: (269) 483-9621 |
| NPI Number | 1639295652 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639295652 | NPI | - | NPPES |
| 1134259047 | Other | MI | NPI TYPE 1 |
| 2901016419 | Other | MI | DENTIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901016419 (Michigan) | Primary |