| Pinerock,p.c. | |
|
6650 Crossing Dr.se Kentwood MI 49508 | |
| (616) 554-2100 | |
| (616) 554-2104 |
| Full Name | Pinerock,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6650 Crossing Dr.se, Kentwood, Michigan |
| Authorized Official Name and Position | Robert Bowman (PRESIDENT) |
| Authorized Official Contact | 6165542100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinerock,p.c. 6650 Crossing Dr.se Kentwood MI 49508 Ph: (616) 554-2100 | Pinerock,p.c. 6650 Crossing Dr.se Kentwood MI 49508 Ph: (616) 554-2100 |
| NPI Number | 1962467662 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962467662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 011270 (Michigan) | Primary |
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