Healthcare Provider Details

I. General information

NPI: 1710154174
Provider Name (Legal Business Name): ALLCARE DENTAL & DENTURES OF MI PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 E SAGINAW ST
LANSING MI
48912-4746
US

IV. Provider business mailing address

PO BOX 369
CLARENCE NY
14031-0369
US

V. Phone/Fax

Practice location:
  • Phone: 517-203-4488
  • Fax: 517-203-4499
Mailing address:
  • Phone: 716-204-4999
  • Fax: 716-632-2963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT S BATES
Title or Position: PRESIDENT
Credential: DDS
Phone: 716-622-1563