Healthcare Provider Details
I. General information
NPI: 1851508980
Provider Name (Legal Business Name): CARE FREE MEDICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2007
Last Update Date: 09/17/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1100 W SAGINAW DENTAL CLINIC
LANSING MI
48915-4002
US
IV. Provider business mailing address
1100 W SAGINAW DENTAL CLINIC
LANSING MI
48915-4002
US
V. Phone/Fax
- Phone: 517-887-5922
- Fax:
- Phone: 517-887-5922
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223D0001X |
| Taxonomy | Public Health Dentistry |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 124Q00000X |
| Taxonomy | Dental Hygienist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FARHAN
BHATTI
Title or Position: CEO
Credential: MD
Phone: 517-887-5922