Ann Marie Flermoen, DDS

Individual provider Active NPI General Practice Dentistry · Bath, MI

NPI 1891701827 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891701827
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
13739 (MI)
Practice address
5815 E Clark
Suite D
Bath, MI 48808-0395
Phone
(517) 641-6778
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13739MIMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13739 MI Yes

Addresses

Primary practice location

5815 E Clark
Suite D
Bath, MI 48808-0395

Mailing address

PO Box 395
5815 E Clark Suite D
Bath, MI 48808-0395
Phone (517) 641-6778

Other providers in Bath, MI

All providers in Bath, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.