| NPI Details | |
|---|---|
| NPI | 1396756615 |
| Enumeration Date | 08/11/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | WILLIAM SCOTT WILLIAM |
| Position | DENTIST |
| Phone | (810) 385-2273 |
| Fax | (810) 385-6285 |
| Practice Location | |
|---|---|
| 4044 24TH AVE FORT GRATIOT MI, 48059, US |
|
| Phone | (810) 385-2273 |
| Fax | (810) 385-6285 |
| Business Location | |
|---|---|
| 4044 24TH AVE FORT GRATIOT MI, 48059, US |
|
| Phone | (810) 385-2273 |
| Fax | (810) 385-6285 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 122300000X |
| License State | Michigan |
| License Number | 16113 |
| Remove 1396756615 NPI Number | |
According to our database, Blue Water Family Dentistry Pc NPI is 1396756615, taxonomy code is 122300000X and license number is 16113, license state is located at Michigan. Blue Water Family Dentistry Pc physically located at 4044 24th Ave, Fort Gratiot MI, 48059. NPI Number 1033115704 has the healthcare provider type.
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1396756615 NPI number is provided on an as is basis without warranty of any kind. 1396756615 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Water Family Dentistry Pc are for informational purposes only.
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