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NPI Code Detail

MEDICARE: WYATT AND POUND FAMILY DENTISTRY, P.L.C.

MEDICARE: WYATT AND POUND FAMILY DENTISTRY, P.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/CenterMI

General Provider Information

NPI Number : 1013153279
Entity Type Code : Organization
Provider Name (Legal Business Name) : WYATT AND POUND FAMILY DENTISTRY, P.L.C.
Provider Business Mailing Address
First Line : 2885 SPRING ARBOR RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-3607
Country : US
Telephone Number : 517-787-0900
Fax Number : 517-787-6363
Provider Business Practice Location Address
First Line : 2885 SPRING ARBOR RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-3607
Country : US
Telephone Number : 517-787-0900
Fax Number : 517-787-6363
Authorized Official
Title or Position : PRINCIPAL OFFICER
Name : JOHN C WYATT
Credential : D.D.S.
Telephone Number : 517-787-0900
Provider Enumeration Date : 12/18/2008
Last Update Date : 07/21/2022

Similar Medicare Providers

1801845003 — JOHN C. WYATT DDS & ASSOCIATES PC
Practice Location Address:
2885 SPRING ARBOR RD
JACKSON, MI
49203-3607
Practice Phone: 517-787-0900
Practice Fax: 517-787-6363
1730138934 — NICHOLAS S POUND D.D.S.
Practice Location Address:
2885 SPRING ARBOR RD
JACKSON, MI
49203-3607
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1225087364 — JOHN C WYATT D.D.S.
Practice Location Address:
2885 SPRING ARBOR RD
JACKSON, MI
49203-3607
Practice Phone: 517-787-0900
Practice Fax: 517-787-6363
1205094323 — DR. NATHAN SHANE POUND D.D.S.
Practice Location Address:
2885 SPRING ARBOR RD
JACKSON, MI
49203-3607
Practice Phone: 517-787-0900
Practice Fax:
1588900914 — POUND & POUND FAMILY DENTISTRY, PLLC
Practice Location Address:
2885 SPRING ARBOR RD
JACKSON, MI
49203-3607
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Practice Fax: 517-787-6363
1770530586 — SAMUEL OLANIYI BADA M.D.
Practice Location Address:
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38301-3607
Practice Phone: 731-265-1997
Practice Fax: 731-265-0511

Directions to “WYATT AND POUND FAMILY DENTISTRY, P.L.C. ” Practice Location

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