DR. ALEXANDER ASKOLD DUTKO D.D.S. NPI 1073644225

NPI Information

  • NPI: 1073644225
  • Provider Name: DR. ALEXANDER ASKOLD DUTKO, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 29439 RYAN RD
    WARREN, MI
    ZIP 48092
  • Phone: (586) 558-9666

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NPI Details

DR. Alexander Askold Dutko, D.D.S. is a general practice dentist in Warren, 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. DR. Alexander Askold Dutko, D.D.S. NPI is 1073644225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

29439 RYAN RD
WARREN, MI
ZIP 48092-203
Phone: (586) 558-9666
Fax: (586) 558-8121

The NPI 1073644225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/8/2007.

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 Practice015160MICHIGANYes

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: 11/21/2025

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