EDWARD G KROLL,DDS AND ASSOCIATES, PC (NPI# 1972516615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972516615 |
| Entity Type | Organization |
| Organization Name | EDWARD G KROLL,DDS AND ASSOCIATES, PC |
| Practice Address |
3704 E 8 Mile Rd Detroit MI 48234-1007 |
| Practice Telephone | 3138918088 |
| Practice Fax Number | 3138918333 |
| Mailing Telephone | 3138918088 |
| Mailing Fax Number | 3138918333 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDWARD G KROLL (PESIDENT) |
| Authorized Official Telephone | 3138918088 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
8536 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4015745 | 05 |
| Street Address |
3704 E 8 MILE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710990593 | Edward G Kroll | Dentist | 3704 E 8 Mile Rd, Detroit, MI 48234-1007 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
| 1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
| 1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
| 1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
| 1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
| 1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
| Find all providers in zip 48234 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619533171 | Livernois Dental Care Pllc | Clinic/Center | 17170 Livernois Ave, Detroit, MI 48221-3028 | 2019-05-10 |
| 1225584758 | Park Dental Service, P.C. | Clinic/Center | 18935 Grand River Ave, Detroit, MI 48223-2273 | 2016-08-25 |
| 1346610268 | Dr. Robert P. Dipilla and Associates, PC | Clinic/Center | 1 Woodward Ave, 1625, Detroit, MI 48226-3430 | 2015-10-05 |
| 1073852091 | Community Dental Center Pllc | Clinic/Center | 4000 Miller St, Detroit, MI 48211-1555 | 2013-02-11 |
| 1912255928 | Smiles of Tomorrow, P.C. | Clinic/Center | 645 Griswold St, St 224, Detroit, MI 48226-4105 | 2012-08-22 |
| 1528139540 | Dental Care Management, Inc. | Clinic/Center | 15311 W Mcnichols Rd, Detroit, MI 48235-3723 | 2006-11-13 |
| 1497355739 | Stephen J Krawiec Ddspc | Clinic/Center | 18400 Grand River Ave, Detroit, MI 48223-2317 | 2020-10-27 |
| 1417560657 | Alan R. Faber Jr. Dds PC | Clinic/Center | 8191 E Jefferson Ave, Detroit, MI 48214-2610 | 2020-08-27 |
| 1972111672 | Sarmed Hanna Dental Pllc | Clinic/Center | 18525 Moross Rd, Detroit, MI 48224-1019 | 2020-07-20 |
| 1932731114 | Just Right Smiles LLC | Clinic/Center | 11200 E Mcnichols Rd, Detroit, MI 48234-3929 | 2020-02-06 |
| Find all providers in DETROIT | ||||
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| 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.