| Battle Creek Oral And Maxillofacial Surgery | |
|
3610 Capital Avenue Sw Battle Creek MI 49015 | |
| (269) 965-1339 | |
| (269) 965-2281 |
| Full Name | Battle Creek Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3610 Capital Avenue Sw, Battle Creek, Michigan |
| Authorized Official Name and Position | Wendy H Lewis (OFFICE) |
| Authorized Official Contact | 2699651339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Battle Creek Oral And Maxillofacial Surgery 3610 Capital Avenue Sw Battle Creek MI 49015 Ph: (269) 965-1339 | Battle Creek Oral And Maxillofacial Surgery 3610 Capital Avenue Sw Battle Creek MI 49015 Ph: (269) 965-1339 |
| NPI Number | 1548443294 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548443294 | NPI | - | NPPES |
| 3020670 | Medicaid | MI | |
| 4061917 | Medicaid | MI | |
| 3020698 | Medicaid | MI | |
| 2582361 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11052 (Michigan) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 14976 (Michigan) | Secondary |
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