Provider Demographics
NPI:1902455249
Name:BI-COUNTY DENTAL PC
Entity Type:Organization
Organization Name:BI-COUNTY DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:PATRONIK DDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:906-387-2482
Mailing Address - Street 1:109 E SUPERIOR ST
Mailing Address - Street 2:
Mailing Address - City:MUNISING
Mailing Address - State:MI
Mailing Address - Zip Code:49862-1121
Mailing Address - Country:US
Mailing Address - Phone:906-387-2482
Mailing Address - Fax:
Practice Address - Street 1:109 E SUPERIOR ST
Practice Address - Street 2:
Practice Address - City:MUNISING
Practice Address - State:MI
Practice Address - Zip Code:49862-1121
Practice Address - Country:US
Practice Address - Phone:906-387-2482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental