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PERSONALIZED DENTISTRY NPI 1316071863


NPI Information

NPI: 1316071863
Provider Name: PERSONALIZED DENTISTRY

Other Name: LEWIS, ROCHLEN & ROCHLEN

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
30825 RYAN RD
WARREN, MI
ZIP 48092
Phone: (586) 751-2900
Get Directions

PERSONALIZED DENTISTRY 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. PERSONALIZED DENTISTRY NPI is 1316071863. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Lewis, Rochlen & Rochlen.

The provider's business location address is:

30825 RYAN RD
WARREN, MI
ZIP 48092-903
Phone: (586) 751-2900
Fax: (586) 751-5224

The provider's authorized official is Bernard Lewis .
The authorized official title is President and has the following contact phone number (586) 751-2900.

The enumeration date for this NPI number is 3/15/2007 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 Practice8373MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14017310MEDICAIDMICHIGAN

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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