Professional Dental Associates Pc is a dental clinic (Dentist - General Practice) in Barryton, Michigan. The current practice location for Professional Dental Associates Pc is 98 Northern Avenue, Barryton, Michigan. For appointments, you can reach them via phone at
(989) 382-7227. The mailing address for Professional Dental Associates Pc is 98 Northern Avenue, Po Box 244, Barryton, Michigan and phone number is (989) 382-7227.
Professional Dental Associates Pc is licensed to practice in Michigan (license number 10102) and its
NPI number is 1750550109. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(989) 382-7227.
Dental Care Clinic Profile
| Full Name | Professional Dental Associates Pc |
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| Speciality | Dentist - General Practice |
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| Location | 98 Northern Avenue, Barryton, Michigan |
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| Authorized Official Name and Position | Kevin T Mathewson (DENTIST OWNER) |
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| Authorized Official Contact | 9893827227 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Professional Dental Associates Pc
98 Northern Avenue
Po Box 244
Barryton
MI 49305
Ph: (989) 382-7227 | Professional Dental Associates Pc
98 Northern Avenue
Barryton
MI 49305
Ph: (989) 382-7227 |
NPI Details:
| NPI Number | 1750550109 |
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| Provider Enumeration Date | 02/29/2008 |
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| Last Update Date | 02/29/2008 |
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Medical Identifiers
Medical identifiers for Professional Dental Associates Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750550109 | NPI | - | NPPES |
| 8012370 | Other | MI | BC BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 10102 (Michigan) | Primary |
| 1223G0001X | Dentist - General Practice | 16945 (Michigan) | Secondary |
| 1223G0001X | Dentist - General Practice | 19296 (Massachusetts) | Secondary |
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