| Dr Charles Godfrey Norman Ii, DDS | |
| 
					6800 Newark Rd, Suite 200, Imlay City, MI 48444-9656  | |
| (810) 721-7453 | |
| Not Available | 
| Full Name | Dr Charles Godfrey Norman Ii | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - General Practice | 
| Location | 6800 Newark Rd, Imlay City, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407905110 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901017520 (Michigan) | Primary | 
| Entity Name | Great Lakes Bay Health Centers | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871684761 PECOS PAC ID: 2466369046 Enrollment ID: O20040126000171  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Charles Godfrey Norman Ii, DDS 6800 Newark Rd, Suite 200, Imlay City, MI 48444-9656 Ph: (810) 721-7453  | Dr Charles Godfrey Norman Ii, DDS 6800 Newark Rd, Suite 200, Imlay City, MI 48444-9656 Ph: (810) 721-7453  | 
Dr. Aaron A. Fisher, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 216 E 3rd St, Imlay City, MI 48444 Phone: 810-724-8080 Fax: 810-724-3309  | |
Dr. David Andrew Noffert, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6800 Newark Rd, #300, Imlay City, MI 48444 Phone: 810-724-3707 Fax: 810-724-1299  | |
Dr. Robert D. Young, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 110 W 3rd St, Imlay City, MI 48444 Phone: 810-724-6441 Fax: 810-724-8186  | |
Dr. Henry D. Nichols, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 216 E 3rd St, Imlay City, MI 48444 Phone: 810-724-8080 Fax: 810-724-3309  |