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LARRY DEGROATD.D.S.P.C. NPI 1659775054


NPI Information

NPI: 1659775054
Provider Name: LARRY DEGROAT,D.D.S.,P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
32100 TELEGRAPH RD STE 102
BINGHAM FARMS, MI
ZIP 48025
Phone: (248) 644-1216
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LARRY DEGROAT,D.D.S.,P.C. is a general practice dentist in Bingham Farms, 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. LARRY DEGROAT,D.D.S.,P.C. NPI is 1659775054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32100 TELEGRAPH RD STE 102
BINGHAM FARMS, MI
ZIP 48025-408
Phone: (248) 644-1216
Fax: (248) 644-1568

The provider's authorized official is Larry Degroat .
The authorized official title is Dentist and has the following contact phone number (248) 644-1216.

The enumeration date for this NPI number is 10/14/2014 and was last updated on 10/14/2014.


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 PracticeYes

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
11114947835OTHERMICHIGANDENTIST

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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