Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLUE WATER DENTAL GROUP MARYSVILLE PC
Active OrganizationBLUE WATER DENTAL GROUP MARYSVILLE PC is a General Dentistry organization located in MARYVILLE, Michigan. NPI 1508975319 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MARYVILLE, MI
Registration Details
- NPI Number
- 1508975319
- Provider Type
- Organization
- NPI Issued
- Aug 29, 2006 (19.96634876175 yrs)
- Last Updated
- Aug 22, 2020
- License
-
2901008847 (MI)
Practice Information
- Address
-
1616 GRATIOT BLVDMARYVILLE, MI, 480401181Browse MI providers · Browse ZIP 48040
- Phone
- 8103647601
- Fax
- 8103649010
- Primary Specialty
-
General Dentistry
1223G0001X
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.