Provider Demographics
NPI:1295346302
Name:BAILEY DENTAL GROUP
Entity type:Organization
Organization Name:BAILEY DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDIANTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-727-7531
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:MI
Mailing Address - Zip Code:48062-0219
Mailing Address - Country:US
Mailing Address - Phone:586-727-7531
Mailing Address - Fax:586-727-4404
Practice Address - Street 1:67640 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:MI
Practice Address - Zip Code:48062-1926
Practice Address - Country:US
Practice Address - Phone:586-727-7531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty