Organization
SENIORCARE MOBILE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILLIAM JERGER D.D.S. (PRESIDENT)
(586) 445-2320
Entity
Organization
Contact information
Practice address
22540 HARPER AVE, SAINT CLAIR SHORES, MI 48080-2941
(586) 445-1802
Mailing address
22540 HARPER AVE, SAINT CLAIR SHORES, MI 48080-2941
(586) 445-1802
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2901013471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4068883
—
MI
Enumeration date
03/20/2007
Last updated
08/22/2020
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