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

GRAND TRAVERSE BAND OF OTTAWA AND CHIPPEWA INDIANS

Active Organization

GRAND TRAVERSE BAND OF OTTAWA AND CHIPPEWA INDIANS is a Dental Clinic organization located in PESHAWBESTOWN, Michigan. NPI 1508126517 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · PESHAWBESTOWN, MI

Registration Details

NPI Number
1508126517
Provider Type
Organization
NPI Issued
May 23, 2012 (14.204902691781 yrs)
Last Updated
Dec 4, 2013
License
261QD0000X (MI)

Practice Information

Address
2300 N STALLMAN ROAD
PESHAWBESTOWN, MI, 49682
Browse MI providers · Browse ZIP 49682
Phone
2315347211
Fax
2315347460
Primary Specialty
Dental Clinic
261QD0000X
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.