Westnedge Family Dentistry | |
3907 S Westnedge Ave Kalamazoo MI 49008-3187 | |
(269) 345-8893 | |
(269) 492-1710 |
Full Name | Westnedge Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 3907 S Westnedge Ave, Kalamazoo, Michigan |
Authorized Official Name and Position | David Charles Sackett (DENTIST) |
Authorized Official Contact | 2693458893 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Westnedge Family Dentistry 3907 S Westnedge Ave Kalamazoo MI 49008-3187 Ph: (269) 345-8893 | Westnedge Family Dentistry 3907 S Westnedge Ave Kalamazoo MI 49008-3187 Ph: (269) 345-8893 |
NPI Number | 1013074095 |
---|---|
Provider Enumeration Date | 01/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013074095 | NPI | - | NPPES |
16115 | Other | MI | MI DELTA DENTAL # JUNGBLU |
3273360 | Medicaid | MI | |
17761 | Other | MI | MASON-DELTA DENTAL MI |
2901016115 | Other | MI | TIM JUNGBLUT STATE LICENS |
2901017761 | Other | MI | LICENSE # |
2901014741 | Other | MI | LICENSE |
14741 | Other | MI | SACKETT-DELTA DENTAL # |
3273324 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 14741 (Michigan) | Primary |
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