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DELUXE DENTAL PLLC # 3 NPI 1053820977


NPI Information

NPI: 1053820977
Provider Name: DELUXE DENTAL PLLC # 3
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
47059 VAN DYKE AVE
SHELBY TOWNSHIP, MI
ZIP 48317
Phone: (586) 991-6299
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DELUXE DENTAL PLLC # 3 is a general practice dentist in Shelby Township, 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. DELUXE DENTAL PLLC # 3 NPI is 1053820977. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

47059 VAN DYKE AVE
SHELBY TOWNSHIP, MI
ZIP 48317-357
Phone: (586) 991-6299
Fax: (586) 799-4076

The provider's authorized official is Faddi Salim .
The authorized official title is Dentist and has the following contact phone number (586) 991-6299.

The enumeration date for this NPI number is 9/22/2017 and was last updated on 7/21/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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