MICHIGAN DENTURES


Address: 3684 W 11 Mile Rd, Berkley, MI 48072-1002
Phone: 2483981900

MICHIGAN DENTURES (NPI# 1134426513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134426513
Entity Type Organization
Organization Name MICHIGAN DENTURES
Practice Address 3684 W 11 Mile Rd
Berkley
MI 48072-1002
Practice Telephone 2483981900
Practice Fax Number 2483941919
Mailing Telephone 2483981900
Mailing Fax Number 2483941919
Enumeration Date 2011-02-20
Last Update Date 2011-02-20
Authorized Official Name MR. EVERETT VAN DEN EEDEN (OWNER / GENERAL PARTNER)
Authorized Official Telephone 2483981900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122400000X Denturist Dental Providers

Office Location

Street Address 3684 W 11 MILE RD
City BERKLEY
State MI
Zip Code 48072-1002

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1336759539 Embodied Wellness, Pllc Counselor 1354 Harvard Rd, Berkley, MI 48072 2020-08-03
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1144684861 Marilyn Ann Hawkins Registered Nurse 2766 West 11 Mile Rd., Beckley, MI 48072 2016-04-08
1134547862 Rimma Polevoy Internal Medicine 1949 12 Mile Rd Ste 100, Berkley, MI 48072 2014-03-31
1245676212 Chelsea Peraino Smoots Social Worker 892 11 Mile Rd, Berkley, MI 48072 2013-05-17
1770730483 Bryce Paul Roekle Counselor 1799 Phillips Avenue, Berkley, MI 48072 2008-08-25
1003003617 Oakland Family Services Community/Behavioral Health 2351 West 12 Mile Road, Berkley, MI 48072 2007-09-27
1063605012 Care Plus Home Health Services, Inc Home Health 28139 Woodward Ave, Berkley, MI 48072 2007-08-23
1346370020 David Jason Carpenter Social Worker 2345 West 12 Mile Road, Berkley, MI 48072 2007-03-06
1871674192 Robert Igwe Internal Medicine 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 2006-10-17
Find all providers in zip 48072

Taxonomy Information

Taxonomy Code 122400000X
Grouping Dental Providers
Classification Denturist

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689743379 Salwan H Francis Denturist 24621 Coolidge Hwy, Oak Park, MI 48237 2006-11-07
1275711376 South Huron Cosmetic & Restorative Dentistry PC Denturist 1637 S Huron St, Ypsilanti, MI 48197-9701 2008-01-31

Competitor

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City BERKLEY
Zip Code 48072

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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