| Michael D Jennings, DENTIST | |
| 
					22601 Harper Ave, Suite 1003, Saint Clair Shores, MI 48080-1829  | |
| (586) 772-7393 | |
| Not Available | 
| Full Name | Michael D Jennings | 
|---|---|
| Gender | Male | 
| Speciality | Dentist | 
| Location | 22601 Harper Ave, Saint Clair Shores, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043417504 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 11575 (Michigan) | Primary | 
| Entity Name | Wayne County Treasurer-payroll, County Of Wayne | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700215977 PECOS PAC ID: 2961462635 Enrollment ID: O20160311000413  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael D Jennings, DENTIST 22601 Harper Ave, Suite 1003, Saint Clair Shores, MI 48080-1829 Ph: (586) 772-7393  | Michael D Jennings, DENTIST 22601 Harper Ave, Suite 1003, Saint Clair Shores, MI 48080-1829 Ph: (586) 772-7393  | 
Dr. Theresa Ditrapani Caruana, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 25520 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-771-5888  | |
Raminta Mastis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 22621 Harper Ave, Saint Clair Shores, MI 48080 Phone: 586-778-3870 Fax: 586-778-9469  | |
Mrs. Esmeralda Paluka, DDS Dentist Medicare: Medicare Enrolled Practice Location: 29404 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-771-4411  | |
Dr. Leslie Robyn Mullinger, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 23800 Greater Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-775-6320  | |
Sandra Frederick, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 31245 Harper Ave, Saint Clair Shores, MI 48082 Phone: 586-783-5505  | |
Dr. Nickalene Badalamenti-kalas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 28050 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-774-6655 Fax: 586-774-6928  |