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PDC MANAGEMEN NPI 1003985169


NPI Information

NPI: 1003985169
Provider Name: PDC MANAGEMEN
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5831 W VERNOR HWY
DETROIT, MI
ZIP 48209
Phone: (313) 842-8300
Get Directions

PDC MANAGEMEN 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. PDC MANAGEMEN NPI is 1003985169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5831 W VERNOR HWY
DETROIT, MI
ZIP 48209-159
Phone: (313) 842-8300
Fax: (313) 842-8530

The provider's authorized official is Anwar Elia .
The authorized official title is Officer and has the following contact phone number (313) 842-8300.

The enumeration date for this NPI number is 11/6/2006 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 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.