| Tooth Time | |
|
7057 Stoney Creek Dr Augusta MI 49012-8883 | |
| (269) 731-4581 | |
| Not Available |
| Full Name | Tooth Time |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 7057 Stoney Creek Dr, Augusta, Michigan |
| Authorized Official Name and Position | Dollie M Black (DIRECTOR) |
| Authorized Official Contact | 2697314581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Time 7057 Stoney Creek Dr Augusta MI 49012-8883 Ph: (269) 731-4581 | Tooth Time 7057 Stoney Creek Dr Augusta MI 49012-8883 Ph: (269) 731-4581 |
| NPI Number | 1730276411 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730276411 | NPI | - | NPPES |
| 4915898 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 2901017274 (Michigan) | Primary |