DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLUE WATER FAMILY DENTISTRY PC

Active Organization

BLUE WATER FAMILY DENTISTRY PC is a Dentist organization located in FORT GRATIOT, Michigan. NPI 1396756615 is currently active in the NPPES registry. Verify at CMS.

Dentist · FORT GRATIOT, MI

Registration Details

NPI Number
1396756615
Provider Type
Organization
NPI Issued
Aug 11, 2006 (20.041648659874 yrs)
Last Updated
Aug 22, 2020
Licenses
16113 (MI)
15282 (MI)
16735 (MI)

Practice Information

Address
4044 24TH AVE
FORT GRATIOT, MI, 48059
Browse MI providers · Browse ZIP 48059
Phone
8103852273
Fax
8103856285
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist

Other Dentist Organizations in FORT GRATIOT, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.