| Pgs D-provider Dentistry Pllc | |
|
1616 Gratiot Blvd Marysville MI 48040-1181 | |
| (586) 727-3815 | |
| Not Available |
| Full Name | Pgs D-provider Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1616 Gratiot Blvd, Marysville, Michigan |
| Authorized Official Name and Position | Sandi Barnes (OFFICE MANAGER) |
| Authorized Official Contact | 5867273815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pgs D-provider Dentistry Pllc 1616 Gratiot Blvd Marysville MI 48040-1181 Ph: (586) 727-3815 | Pgs D-provider Dentistry Pllc 1616 Gratiot Blvd Marysville MI 48040-1181 Ph: (586) 727-3815 |
| NPI Number | 1639791585 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 05/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639791585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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