OrganizationBdd Of Michigan P.C.(Derksen Dentistry)DentistDental ProvidersPractice Address2410 Lake Lansing Rd Ste 2, Lansing, MI 48912-3659(517) 371-5342(517) 394-4040PECOS EnrollmentBased on the most recent information from CMS, provider Bdd Of Michigan P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1760153720Provider TypeOrganizationFull NameBdd Of Michigan P.C.Other NameDerksen DentistrySubpartYesEnumeration Date9/21/2021Last Updated7/26/2024Contact InformationPractice LocationPractice Address2410 Lake Lansing Rd Ste 2, Lansing, MI 48912-3659Phone(517) 371-5342FaxUnlisted FaxMailing LocationMailing AddressPO Box 8250, Carol Stream, IL 60197-8250Phone(517) 394-4040FaxUnlisted FaxAuthorized OfficialNameMoore, Stephanie (Director Of Revenue Cycle)Phone(832) 704-4262Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer