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

STATE STREET FAMILY DENTAL

Active Organization

Dentist · SAINT JOHNS, MI

Registration Details

NPI Number
1669604484
Provider Type
Organization
NPI Issued
Aug 12, 2009 (16.718809194681 yrs)
Last Updated
Aug 12, 2009
Licenses
901013605 (MI)
2901018410 (MI)
012271 (MI)
2901019279 (MI)
13188 (MI)

Practice Information

Address
100 S SCOTT RD
SAINT JOHNS, MI, 488799038
Browse MI providers · Browse ZIP 48879
Phone
9892271858
Fax
9892272268
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist
Additional Specialty
Dentist
Additional Specialty
Dentist

Other Dentist Organizations in SAINT JOHNS, MI

Name NPI
DAVID J. GOECKEL DDS PC 1194857573
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.