NPI: 1265682900
Provider Name: OLDE ORCHARD PEDIATRIC DENTISTRY
Doing Business As: SUSAN H. CARRON, D.D.S., M.S.
Classification: Dentist - 1223P0221X
Entity Type: Organization
Specialization: Pediatric Dentistry
Address:
40105 GRAND RIVER AVE STE 2
NOVI, MI
ZIP 48375
Phone: (248) 478-3232
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OLDE ORCHARD PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Novi, MI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. OLDE ORCHARD PEDIATRIC DENTISTRY NPI is 1265682900. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Susan H. Carron, D.d.s., M.s..
The provider's business location address is:
40105 GRAND RIVER AVE STE 2
NOVI, MI
ZIP 48375-170
Phone: (248) 478-3232
The provider's authorized official is Daphne West .
The authorized official title is Assistant Office Manager and has the following contact phone number (248) 478-3232.
The enumeration date for this NPI number is 9/30/2008 and was last updated on 9/30/2008.