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NPI Code Detail

MEDICARE: HEATHER PHARES, DDS, PC

MEDICARE: HEATHER PHARES, DDS, PC
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/Center

General Provider Information

NPI Number : 1205566924
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEATHER PHARES, DDS, PC
Provider Business Mailing Address
First Line : PO BOX 36
Second Line :
City : NEW ERA
State : MI
Zip : 49446-0036
Country : US
Telephone Number : 231-861-5905
Fax Number :
Provider Business Practice Location Address
First Line : 4711 1ST ST
Second Line :
City : NEW ERA
State : MI
Zip : 49446-5100
Country : US
Telephone Number : 231-861-5905
Fax Number :
Authorized Official
Title or Position : DENTIST OWNER
Name : DR. HEATHER LOUISE PHARES
Credential : DDS
Telephone Number : 231-861-5905
Provider Enumeration Date : 06/15/2022
Last Update Date : 06/15/2022

Similar Medicare Providers

1245613934 — DR. JESSICA JEAN SNELLER D.D.S.
Practice Location Address:
4711 1ST ST
NEW ERA, MI
49446-5100
Practice Phone: 231-861-5905
Practice Fax:
1942397757 — DR. HEATHER LOUISE PHARES D.D.S.
Practice Location Address:
4711 FIRST STREET
NEW ERA, MI
49446
Practice Phone: 231-861-5905
Practice Fax: 231-861-4764
1578612628 — DONNA J GORR R.PH.
Practice Location Address:
4171 S OCEANA DR
NEW ERA, MI
49446-9781
Practice Phone: 231-861-6900
Practice Fax: 231-861-7177
1962524710 — STEPHEN FRANCIS WOLTANSKI RPH
Practice Location Address:
3001 WEST M20
NEW ERA, MI
49446
Practice Phone: 231-861-6942
Practice Fax:
1427372465 — MR. KENNETH ROBERT KWAPISZEWSKI R.PH.
Practice Location Address:
3001 W M 20
NEW ERA, MI
49446-8173
Practice Phone: 231-750-2429
Practice Fax:
1487904736 — MRS. REBEKAH LYN DESARMO PHARM D., MBA
Practice Location Address:
4171 S OCEANA DR
NEW ERA, MI
49446
Practice Phone: 231-861-6900
Practice Fax: 231-452-6472

Directions to “HEATHER PHARES, DDS, PC ” Practice Location

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