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MIDWESTERN DENTAL OF DETROIT NPI 1760431936


NPI Information

NPI: 1760431936
Provider Name: MIDWESTERN DENTAL OF DETROIT
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1415 TRUMBULL ST
DETROIT, MI
ZIP 48216
Phone: (313) 963-2222
Get Directions

MIDWESTERN DENTAL OF DETROIT 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. MIDWESTERN DENTAL OF DETROIT NPI is 1760431936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1415 TRUMBULL ST
DETROIT, MI
ZIP 48216-368
Phone: (313) 963-2222
Fax: (313) 963-3665

The provider's authorized official is John Morgan .
The authorized official title is Administrative Director and has the following contact phone number (313) 582-8150.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 8/22/2020.


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 PracticeN/AYes

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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