Organization
BLUE WATER FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SCOTT MEYER DDS (DENTIST)
(810) 385-2273
Entity
Organization
Contact information
Practice address
4044 24TH AVE, FORT GRATIOT, MI 48059
(810) 385-2273
(810) 385-6285
Mailing address
4044 24TH AVE, FORT GRATIOT, MI 48059
(810) 385-2273
(810) 385-6285
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15282
MI
122300000X
Dentist
16113
MI
122300000X
Dentist
Primary
16735
MI
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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