Organization
BAY MILLS INDIAN COMMUNITY
Active
Organization
BAY MILLS INDIAN COMMUNITY
Active
Other names
Bay Mills Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ABBY KAUNISTO (CLINIC COORDINATOR)
(906) 248-8315
Entity
Organization
Contact information
Practice address
12455 W LAKESHORE DR, BRIMLEY, MI 49715-9327
(906) 248-5527
(906) 248-5765
Mailing address
12455 W LAKESHORE DR, BRIMLEY, MI 49715-9327
(906) 248-5527
(906) 248-2572
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OA76020
MI
Other
Enumeration date
04/26/2006
Last updated
11/16/2022
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