| T.l.mikesell Dds, Pc | |
|
408 St Joseph Ave Suttons Bay MI 49682-0759 | |
| (231) 271-3315 | |
| (231) 271-3317 |
| Full Name | T.l.mikesell Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 408 St Joseph Ave, Suttons Bay, Michigan |
| Authorized Official Name and Position | Thor Lyn Mikesell (PRESIDENT) |
| Authorized Official Contact | 2312713315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T.l.mikesell Dds, Pc Po Box 759 Suttons Bay MI 49682-0759 Ph: (231) 271-3315 | T.l.mikesell Dds, Pc 408 St Joseph Ave Suttons Bay MI 49682-0759 Ph: (231) 271-3315 |
| NPI Number | 1841928207 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841928207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Suttons Bay Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1299 S West Bay Shore Dr, Suttons Bay, MI 49682 Phone: 231-271-6700 | |
West Bay Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 S West Bay Shore Dr, Suttons Bay, MI 49682 Phone: 231-271-4537 |