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ROYAL OAK FAMILY DENTISTRY NPI 1205815628


NPI Information

NPI: 1205815628
Provider Name: ROYAL OAK FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1200 S WASHINGTON AVE
ROYAL OAK, MI
ZIP 48067
Phone: (248) 543-7070
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ROYAL OAK FAMILY DENTISTRY is a general practice dentist in Royal Oak, 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. ROYAL OAK FAMILY DENTISTRY NPI is 1205815628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 S WASHINGTON AVE
ROYAL OAK, MI
ZIP 48067-222
Phone: (248) 543-7070
Fax: (248) 543-3520

The provider's authorized official is Daniel G Costello .
The authorized official title is Manager and has the following contact phone number (248) 543-7070.

The enumeration date for this NPI number is 1/13/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice014041MICHIGANYes

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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