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Michigan Dentists Pllc
Point of Service in Jackson, Michigan
NPI 1376152504

Michigan Dentists Pllc is a Point of Service based in Jackson, MI. Michigan Dentists Pllc practices in Jackson, MI. The NPI Number for Michigan Dentists Pllc is 1376152504 and holds a License No. (Michigan).

The current practice location address for Michigan Dentists Pllc is 2641 Shirley Dr, Jackson, MI and can be reached out via phone at 517-787-5367.

Location: 2641 Shirley Dr, Jackson, MI, 49201-8633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376152504
Provider Name
Michigan Dentists Pllc
Credential
Provider Entity Type
Organization
Address
2641 Shirley Dr, Jackson, MI, 49201-8633
Phone Number
517-787-5367
Fax Number
Provider Enumeration Date
07/23/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295090611 01 MI EDWIN KWON
1518251230 01 MI ANISH GUPTA
1952617284 01 MI FIRAS BELBEISI
institution
Provider Business Practice Location Address Details
Address
2641 Shirley Dr
City
Jackson
State
Michigan
Zip
49201-8633
Phone Number
517-787-5367
Fax Number
person
Provider Business Mailing Address Details
Address
2641 Shirley Dr
City
Jackson
State
Michigan
Zip
49201-8633
Phone Number
517-787-5367
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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