Cheboygan Dental Associates Inc

Organization Active NPI Dentist · Cheboygan, MI

NPI 1003022005 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1003022005
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
Legal business name
CHEBOYGAN DENTAL ASSOCIATES INC
Practice address
128 S Huron Street
Cheboygan, MI 49721
Phone
(231) 627-9181
Fax
(231) 627-2152
NPI assigned
May 15, 2007
Organization subpart
No

Authorized official

Name
Nancy A Isard
Title
President
Phone
(231) 627-9181

National Provider Directory

Locations

128 S Huron St
Cheboygan, MI 49721
Phone (231) 627-9181

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X Yes

Addresses

Primary practice location

128 S Huron Street
Cheboygan, MI 49721

Mailing address

128 S Huron St
Cheboygan, MI 49721
Phone (231) 627-9181

Other providers in Cheboygan, MI

All providers in Cheboygan, MI · Dentist in Michigan

Sources for this page

Verify at the official NPI Registry.