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BLUE WATER FAMILY DENTISTRY PC NPI 1396756615


NPI Information

NPI: 1396756615
Provider Name: BLUE WATER FAMILY DENTISTRY PC
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
4044 24TH AVE
FORT GRATIOT, MI
ZIP 48059
Phone: (810) 385-2273
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BLUE WATER FAMILY DENTISTRY PC is a dentist in Fort Gratiot, MI. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. BLUE WATER FAMILY DENTISTRY PC NPI is 1396756615. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4044 24TH AVE
FORT GRATIOT, MI
ZIP 48059
Phone: (810) 385-2273
Fax: (810) 385-6285

The provider's authorized official is William Scott Meyer .
The authorized official title is Dentist and has the following contact phone number (810) 385-2273.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist16113MICHIGANNo
2122300000XDentist15282MICHIGANNo
3122300000XDentist16735MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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