Individual
DR. JAMES ALAN BEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
95 N WILLIAMS LAKE RD, WHITE LAKE, MI 48386-2557
(248) 698-8330
(248) 698-8333
Mailing address
95 N WILLIAMS LAKE RD, WHITE LAKE, MI 48386-2557
(248) 698-8330
(248) 698-8333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13124
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13124
LICENSE
MI
05
—
1722904
—
MI
01
—
38-2659681
FEIN
—
Enumeration date
06/30/2006
Last updated
03/07/2023
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