FILL GOOD DENTAL CARE INC NPI 1417428780

NPI Information

NPI: 1417428780
Provider Name: FILL GOOD DENTAL CARE INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
18595 GRAND RIVER AVE
DETROIT, MI
ZIP 48223
Phone: (313) 837-3000
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FILL GOOD DENTAL CARE INC is a dental clinic center in Detroit, MI. FILL GOOD DENTAL CARE INC NPI is 1417428780. The provider is registered as an organization entity type.

The provider's business location address is:

18595 GRAND RIVER AVE
DETROIT, MI
ZIP 48223
Phone: (313) 837-3000
Fax: (313) 838-4581

The provider's authorized official is Lawrence Wendell Stewart .
The authorized official title is Dds/owner and has the following contact phone number (313) 837-3000.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 1/9/2019.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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