DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AMAZING DENTAL PORT HURON PLLC

MEDICARE: AMAZING DENTAL PORT HURON PLLC
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 : 1427568237
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMAZING DENTAL PORT HURON PLLC
Provider Business Mailing Address
First Line : 4035 24TH AVE
Second Line :
City : FORT GRATIOT
State : MI
Zip : 48059-3801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4035 24TH AVE
Second Line :
City : FORT GRATIOT
State : MI
Zip : 48059-3801
Country : US
Telephone Number : 810-385-9766
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : MS. SHAMS HAMAMA
Credential :
Telephone Number : 248-910-4819
Provider Enumeration Date : 10/06/2017
Last Update Date : 10/06/2017

Similar Medicare Providers

1750379194 — DR. G BLAIR DOWDEN III M.D.
Practice Location Address:
4071 24TH AVE
FORT GRATIOT, MI
48059-3801
Practice Phone: 810-824-4222
Practice Fax: 810-824-4220
1285749549 — DR. JULIE A BOUTT M.D.
Practice Location Address:
4071 24TH AVE
FORT GRATIOT, MI
48059-3801
Practice Phone: 810-824-4222
Practice Fax: 810-824-4220
1457497471 — JENNY GILES PAC
Practice Location Address:
4071 24TH AVE
FORT GRATIOT, MI
48059-3801
Practice Phone: 810-824-4222
Practice Fax: 810-824-4220
1598090797 — AMY ELIZABETH VILAS P.A.-C
Practice Location Address:
4071 24TH AVE
FORT GRATIOT, MI
48059-3801
Practice Phone: 810-824-4222
Practice Fax: 810-824-4220
1114222031 — LIGHTHOUSE FAMILY MEDICINE, PLLC
Practice Location Address:
4071 24TH AVE
FORT GRATIOT, MI
48059-3801
Practice Phone: 810-824-4222
Practice Fax: 810-824-4220
1801387592 — DR. JOSEPHINE M KAMENDAT FNP -C
Practice Location Address:
4071 24TH AVE
FORT GRATIOT, MI
48059-3801
Practice Phone: 810-824-4222
Practice Fax:

Directions to “AMAZING DENTAL PORT HURON PLLC ” 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.