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ELMWOOD PARK DENTAL NPI 1528678687


NPI Information

NPI: 1528678687
Provider Name: ELMWOOD PARK DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1547 E LAFAYETTE ST
DETROIT, MI
ZIP 48207
Phone: (313) 567-6200
Get Directions

ELMWOOD PARK DENTAL is a general practice dentist in Detroit, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ELMWOOD PARK DENTAL NPI is 1528678687. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1547 E LAFAYETTE ST
DETROIT, MI
ZIP 48207-958
Phone: (313) 567-6200
Fax: (313) 567-6202

The provider's authorized official is James Sarter .
The authorized official title is Dentist and has the following contact phone number (313) 567-6200.

The enumeration date for this NPI number is 8/4/2020 and was last updated on 8/4/2020.


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
11223G0001XDentistGeneral PracticeYes

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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