| Sault Tribe Of Chippewa Indians | |
|
2864 Ashmun St Sault Sainte Marie MI 49783-3740 | |
| (906) 632-5200 | |
| (906) 632-5276 |
| Full Name | Sault Tribe Of Chippewa Indians |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2864 Ashmun St, Sault Sainte Marie, Michigan |
| Authorized Official Name and Position | Bonnie L Culfa (DIVISION OF HEALTH DIRECTOR) |
| Authorized Official Contact | 9066325200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sault Tribe Of Chippewa Indians 2864 Ashmun St Sault Sainte Marie MI 49783-3740 Ph: (906) 632-5200 | Sault Tribe Of Chippewa Indians 2864 Ashmun St Sault Sainte Marie MI 49783-3740 Ph: (906) 632-5200 |
| NPI Number | 1285802868 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285802868 | NPI | - | NPPES |
| J802165 | Other | MI | BC/BS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
Sault Dental Association Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Johnston St, Sault Sainte Marie, MI 49783 Phone: 906-635-6020 Fax: 906-635-7687 | |
Kevin P Cooper Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Brady Street, Sault Sainte Marie, MI 49783 Phone: 906-632-0074 Fax: 906-632-0081 | |
Mitigoons Dental Dental Clinic Medicare: Medicare Enrolled Practice Location: 204 E Portage Ave, Sault Sainte Marie, MI 49783 Phone: 906-248-5527 Fax: 906-248-5765 | |
Sault High Adolescent Care Center (shacc) Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Marquette Ave, Room 622, Sault Sainte Marie, MI 49783 Phone: 906-632-5690 Fax: 906-635-1325 |