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Organization
MUSCOTT & MUSCOTT DENTAL HEALTH CENTER, PLC
Active
Organization
MUSCOTT & MUSCOTT DENTAL HEALTH CENTER, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ERNEST MUSCOTT D.D.S. (DENTIST)
(616) 527-6777
Entity
Organization
Contact information
Practice address
2264 S STATE RD, IONIA, MI 48846-2149
(616) 527-6777
(616) 527-4647
Mailing address
2264 S STATE RD, PO BOX 510, IONIA, MI 48846-2149
(616) 527-6777
(616) 527-4647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013792
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D800208
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/26/2006
Last updated
04/20/2008
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