BLUE WATER DENTAL GROUP PORT HURON P.C. - NPI 1669649026

Q: What is Blue Water Dental Group Port Huron P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

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About Blue Water Dental Group Port Huron P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WATER DENTAL GROUP PORT HURON P.C. (NPI 1669649026) is a healthcare organization registered as a general practice in Port Huron, Michigan and active in the NPI registry since May 2008. The organization lists Luann Thompson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669649026

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBLUE WATER DENTAL GROUP PORT HURON P.C.

Location Address803 SUPERIOR STPort Huron, MI 48060-3764

Mailing Address803 Superior StPort Huron, MI 48060-3764 · (810) 987-7224 · Fax (810) 987-8585

Phone(810) 987-7224

Fax(810) 987-8585

Organization SubpartNo

Authorized OfficialLuann ThompsonOffice Manager · (810) 987-7224

Enumeration DateMay 14, 2008

✔ NPI 1669649026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 10502

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

803 SUPERIOR ST, Port Huron, MI 48060

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GLENN KEITH WENDELA D.D.S

Dentist (General Practice)

803 SUPERIOR ST
PORT HURON, MI 48060

St. Clair County (810) 987-7224

DANIELLE DEE STOVER RBT

Behavior Technician

803 SUPERIOR ST
PORT HURON, MI 48060

St. Clair County (810) 602-9031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Water Dental Group Port Huron P.C.'s NPI number?

The NPI number for Blue Water Dental Group Port Huron P.C. is 1669649026. It was assigned to this organization in the NPPES registry on May 14, 2008.

Where is Blue Water Dental Group Port Huron P.C. located?

Blue Water Dental Group Port Huron P.C. is located at 803 Superior St, Port Huron, MI 48060. The listed phone number is (810) 987-7224.

What is Blue Water Dental Group Port Huron P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Blue Water Dental Group Port Huron P.C. was last updated on May 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.