| Water's Edge Dentistry | |
|
504 Water St Manistee MI 49660-1544 | |
| (231) 723-7957 | |
| (231) 723-3230 |
| Full Name | Water's Edge Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 504 Water St, Manistee, Michigan |
| Authorized Official Name and Position | Geoffrey Roland Paine (OWNER) |
| Authorized Official Contact | 2317237957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Water's Edge Dentistry 504 Water St Manistee MI 49660-1544 Ph: (231) 723-7957 | Water's Edge Dentistry 504 Water St Manistee MI 49660-1544 Ph: (231) 723-7957 |
| NPI Number | 1558587626 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558587626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13927 (Michigan) | Primary |
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