| Smiles On Wheels | |
|
1715 Lansing Ave Room 261 Jackson MI 49202-2192 | |
| (517) 740-7422 | |
| Not Available |
| Full Name | Smiles On Wheels |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1715 Lansing Ave, Jackson, Michigan |
| Authorized Official Name and Position | Kim Crabtree (DENTAL HYGIENIST/OWNER) |
| Authorized Official Contact | 5177402596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On Wheels 122 Highland Dr Jackson MI 49201-9164 Ph: () - | Smiles On Wheels 1715 Lansing Ave Room 261 Jackson MI 49202-2192 Ph: (517) 740-7422 |
| NPI Number | 1518330992 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518330992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2902016316 (Michigan) | Primary |
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