| William C. Quinlan, D.d.s., P.c. | |
|
19535 Mack Ave Grosse Pointe Woods MI 48236-2836 | |
| (313) 881-4000 | |
| (313) 881-2983 |
| Full Name | William C. Quinlan, D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 19535 Mack Ave, Grosse Pointe Woods, Michigan |
| Authorized Official Name and Position | William C. Quinlan (DENTIST) |
| Authorized Official Contact | 3138814000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William C. Quinlan, D.d.s., P.c. 19535 Mack Ave Grosse Pointe Woods MI 48236-2836 Ph: (313) 881-4000 | William C. Quinlan, D.d.s., P.c. 19535 Mack Ave Grosse Pointe Woods MI 48236-2836 Ph: (313) 881-4000 |
| NPI Number | 1144520800 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/28/2010 |
| Medicare PECOS PAC ID | 7012974298 |
|---|---|
| Medicare Enrollment ID | O20041220000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144520800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9374 (Michigan) | Primary |
| Provider Name | William C Quinlan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033200670 PECOS PAC ID: 1658338835 Enrollment ID: I20041220000604 |
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