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DENTAL REHAB PC NPI 1194993428


NPI Information

NPI: 1194993428
Provider Name: DENTAL REHAB PC

Doing Business As: DENTAL REHABILITATION CENTER

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
26699 W 12 MILE RD STE 200
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 626-6526
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DENTAL REHAB PC is a prosthodontics dentist in Southfield, MI. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DENTAL REHAB PC NPI is 1194993428. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dental Rehabilitation Center.

The provider's business location address is:

26699 W 12 MILE RD STE 200
SOUTHFIELD, MI
ZIP 48034-815
Phone: (248) 626-6526
Fax: (248) 626-6529

The provider's authorized official is Rami Jandali .
The authorized official title is President and has the following contact phone number (248) 626-6526.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 6/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodontics2901017395MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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