Mattson Dental, Pllc | |
1151 E Paris Ave Se Ste 100 Grand Rapids MI 49546-8369 | |
(616) 949-5980 | |
Not Available |
Full Name | Mattson Dental, Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 1151 E Paris Ave Se Ste 100, Grand Rapids, Michigan |
Authorized Official Name and Position | Carmen Bollinger (PRACTICE MANAGER) |
Authorized Official Contact | 6167067637 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mattson Dental, Pllc 1151 E Paris Ave Se Ste 100 Grand Rapids MI 49546-8369 Ph: (616) 949-5980 | Mattson Dental, Pllc 1151 E Paris Ave Se Ste 100 Grand Rapids MI 49546-8369 Ph: (616) 949-5980 |
NPI Number | 1437740313 |
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Provider Enumeration Date | 02/02/2021 |
Last Update Date | 02/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437740313 | NPI | - | NPPES |
1710240007 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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