MEDICARE: DENTAL CARE TEAM- FENTON ROAD

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1265042378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL CARE TEAM- FENTON ROAD

Provider Business Mailing Address
First Line	:	5301 FENTON RD
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48507-4034
Country	:	US
Telephone Number	:	810-233-5361
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 FENTON RD
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48507-4034
Country	:	US
Telephone Number	:	810-233-5361
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IBRAHIM JARJOURA
Credential	:	DDS
Telephone Number	:	810-233-5361

Provider Enumeration Date	:	08/04/2020
Last Update Date	:	08/04/2020

Similar Medicare Providers

1043619463 — MR. MARK A. EASTMAN D.D.S.,P.C.
Practice Location Address:

5301 FENTON RD
FLINT, MI
48507-4034

Practice Phone: 810-233-5361
Practice Fax: 810-233-7952

1174082721 — TRACI SCHROEDER
Practice Location Address:

4034 LESTER DR NE
GRAND RAPIDS, MI
49525-1447

Practice Phone: 616-726-3688
Practice Fax:

1942142146 — ALLANAH GRIFFIN
Practice Location Address:

1132 E MAPLE AVE
GRAND BLANC, MI
48507-4108

Practice Phone: 833-478-9464
Practice Fax:

1255273462 — NICOLE KEMP
Practice Location Address:

1132 E MAPLE AVE
GRAND BLANC, MI
48507-4108

Practice Phone: 833-478-9464
Practice Fax:

1477495695 — KAYLA DUMAS
Practice Location Address:

1132 E MAPLE AVE
GRAND BLANC, MI
48507-4108

Practice Phone: 833-478-9464
Practice Fax:

1124011291 — ROBERT M BOUVIER JR. M.D.
Practice Location Address:

5536 S SAGINAW RD
GRAND BLANC, MI
48507-4421

Practice Phone: 810-694-7412
Practice Fax: 866-200-1503

Directions to “DENTAL CARE TEAM- FENTON ROAD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.