Family Dentistry of Caledonia

NPI #1942333497 in Caledonia, Michigan

Provider Information

NPI Number: 1942333497
Entity Type: Organization
Organization Name: Family Dentistry of Caledonia
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 13, 2007
Last Updated: Aug 11, 2008

Practice Location

Address: 9021 N RODGERS CT SE
Address 2: SUITE E
City: Caledonia
State: Michigan
ZIP Code: 49316-7649
Phone: (616) 891-0004

Authorized Official

Name: DR. GARY L SCOTT, DDS
Title: PRESIDENT
Phone: (616) 891-0004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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