Organization
NORTHERN QUALITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JARVIS SEYMOUR D.D.S. (DENTIST)
(231) 775-6531
Entity
Organization
Contact information
Practice address
504 HAYNES ST, CADILLAC, MI 49601-1809
(231) 775-6531
(231) 775-6431
Mailing address
504 HAYNES ST, CADILLAC, MI 49601-1809
(231) 775-6531
(231) 775-6431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29010-19403
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1883238
UNITED CONCORDIA
MI
01
—
1883242
UNITED CONCORDIA
MI
05
—
4918174
—
MI
05
—
4918183
—
MI
05
—
4919485
—
MI
05
—
4919494
—
MI
05
—
4919500
—
MI
05
—
4919510
—
MI
01
—
D194030
BCBS
MI
01
—
D194040
BCBS
MI
Enumeration date
06/11/2009
Last updated
06/11/2009
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