William Robert Lindow, D.M.D.

Individual provider Active NPI General Practice Dentistry · Eaton Rapids, MI

NPI 1639273261 · NPPES record last updated Jan 17, 2017

Key facts

NPI
1639273261
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2901015666 (MI)
Practice address
1511 S Main St
Eaton Rapids, MI 48827-1951
Phone
(517) 663-9021
Fax
(517) 663-3997
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150702001968 MI Practitioner - Oral Surgery 9436461589 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2901015666MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Lindow, D.M.D., P.C. Current
since May 26, 2015
Accepting new patients

Locations

1511 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-1500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901015666 MI Yes

Addresses

Primary practice location

1511 S Main St
Eaton Rapids, MI 48827-1951

Mailing address

1511 S Main St
Eaton Rapids, MI 48827-1951
Phone (517) 663-9021

Other providers in Eaton Rapids, MI

All providers in Eaton Rapids, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.