# JAMES A. BEDOR, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922272731
- **Authorized official:** MRS. CAROL L MCINTYRE (PRACTICE MANAGER)
- **Authorized official phone:** (248) 698-8330

## Contact information

- **Practice address:** 95 N WILLIAMS LAKE RD, WHITE LAKE, MI 48386-2557
- **Practice address phone:** (248) 698-8330
- **Practice address fax:** (248) 698-8333
- **Mailing address:** 95 N WILLIAMS LAKE RD, WHITE LAKE, MI 48386-2557
- **Mailing address phone:** (248) 698-8330
- **Mailing address fax:** (248) 698-8333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 04/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1722904 | — | MI |
| 01 | — | J801327 | BCBS | MI |