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William C Vuillemot

Dentist

Dental Providers

2524 Lake Lansing Rd, Lansing, MI 48912-3620

PECOS Enrollment

This provider is enrolled in PECOS as WILLIAM VUILLEMOT.

Based on the most recent information from CMS, provider William C Vuillemot is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1821121500
Provider Type
Individual
Full Name
Vuillemot, William C
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
3/13/2007
Last Updated
4/28/2009

Contact Information

Practice Location

2524 Lake Lansing Rd, Lansing, MI 48912-3620

(517) 485-3444

(517) 485-3763

Mailing Location

2524 Lake Lansing Rd, Lansing, MI 48912-3620

(517) 485-3444

(517) 485-3763

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 14161 Michigan

Provider Identifiers

ID	Description	Issuer
ID J803010	Description Other	Issuer BLUE CROSS BLUE SHIELD Michigan

William C Vuillemot

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Vuillemot, Barbara A

Erhard, Robert W.

Pogoncheff, Anna Marie

Vakade, Chinmay Dilip

Pogoncheff, John Metodi

Hall-Tate, Lauren Ann

Orion Family Dental Center

Hwang, Gyu

Holly Scott-Hetchler, Dds, Pc

Gill Dental Pc