| Broadway Dental Center | |
|
110 S Broadway St Cassopolis MI 49031-1243 | |
| (269) 445-5550 | |
| (269) 445-0101 |
| Full Name | Broadway Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 S Broadway St, Cassopolis, Michigan |
| Authorized Official Name and Position | Heather Mcintyre (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 2694455550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental Center Po Box 8 Cassopolis MI 49031-0008 Ph: (269) 445-5550 | Broadway Dental Center 110 S Broadway St Cassopolis MI 49031-1243 Ph: (269) 445-5550 |
| NPI Number | 1205372265 |
|---|---|
| Provider Enumeration Date | 01/16/2017 |
| Last Update Date | 01/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205372265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2915566 (Michigan) | Primary |
Keep Mi Smile Cassopolis Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 62225 M 62, Cassopolis, MI 49031 Phone: 269-445-8636 Fax: 269-659-8604 | |
Cassopolis Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 62225 M 62, Cassopolis, MI 49031 Phone: 269-445-8636 Fax: 269-445-2891 |