DENTAL CARE MANAGEMENT INC. NPI 1528139540

NPI Information

NPI: 1528139540
Provider Name: DENTAL CARE MANAGEMENT, INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
15311 W MCNICHOLS RD
DETROIT, MI
ZIP 48235
Phone: (313) 838-0490
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DENTAL CARE MANAGEMENT, INC. is a dental clinic center in Detroit, MI. DENTAL CARE MANAGEMENT, INC. NPI is 1528139540. The provider is registered as an organization entity type.

The provider's business location address is:

15311 W MCNICHOLS RD
DETROIT, MI
ZIP 48235-723
Phone: (313) 838-0490

The provider's authorized official is John Ilitch .
The authorized official title is Vice-president and has the following contact phone number (313) 838-0490.

The enumeration date for this NPI number is 11/13/2006 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
1	261QD0000X	Clinic/Center	Dental	14256	MICHIGAN	Yes

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
1	2935560	MEDICAID	MICHIGAN
2	4915010	MEDICAID	MICHIGAN

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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