EDWARD G KROLLDDS AND ASSOCIATES PC NPI 1972516615

NPI Information

NPI: 1972516615
Provider Name: EDWARD G KROLL,DDS AND ASSOCIATES, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3704 E 8 MILE RD
DETROIT, MI
ZIP 48234
Phone: (313) 891-8088
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EDWARD G KROLL,DDS AND ASSOCIATES, PC is a dental clinic center in Detroit, MI. EDWARD G KROLL,DDS AND ASSOCIATES, PC NPI is 1972516615. The provider is registered as an organization entity type.

The provider's business location address is:

3704 E 8 MILE RD
DETROIT, MI
ZIP 48234-007
Phone: (313) 891-8088
Fax: (313) 891-8333

The provider's authorized official is Edward G Kroll .
The authorized official title is Pesident and has the following contact phone number (313) 891-8088.

The enumeration date for this NPI number is 8/14/2006 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	8536	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	4015745	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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