Organization
MEADE FAMILY DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERE BOOTH MEADE D.D.S. (TREASURER)
(616) 895-7199
Entity
Organization
Contact information
Practice address
11301 COMMERCE DR, ALLENDALE, MI 49401-8200
(616) 895-7199
(616) 895-5698
Mailing address
11301 COMMERCE DR, ALLENDALE, MI 49401-8200
(616) 895-7199
(616) 895-5698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013664
MI
Other
Enumeration date
04/19/2008
Last updated
04/19/2008
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