Provider Demographics
NPI:1013003466
Name:NATALIE MCGRAW DDS PC
Entity Type:Organization
Organization Name:NATALIE MCGRAW DDS PC
Other - Org Name:NORTHWEST FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCGRAW PAPOVLIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-817-2222
Mailing Address - Street 1:1220 W PARNALL RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201
Mailing Address - Country:US
Mailing Address - Phone:517-817-2222
Mailing Address - Fax:517-817-2295
Practice Address - Street 1:1220 W PARNALL RD
Practice Address - Street 2:SUITE D
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201
Practice Address - Country:US
Practice Address - Phone:517-817-2222
Practice Address - Fax:517-817-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901016750122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty