Supreme Dental Of Plymouth Road Pc

  • 1649693102 NPI Number
  • |
  • Actived: 10 years ago
  • |
Supreme Dental Of Plymouth Road Pc is a health care provider based in Detroit, MI. The NPI Number is 1649693102 and it has been active since 10 years ago. The specialty is Dentist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Dentist services, Supreme Dental Of Plymouth Road Pc is an excellent option. We are here to help you get the care you need.

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Overview of Supreme Dental Of Plymouth Road Pc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 02/03/2014
  • Last updated: 02/03/2014

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 27201 Ryan Rd
    Warren, MI 48092
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 20720 Plymouth Rd
    Detroit, MI 48228
  • Phone: 313-342-1997
  • Fax:

Authorized Official

  • Name: Michele Bloxson
  • Position/Title: President
  • Telephone Number: 313-416-6806

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1003804303
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Supreme Dental Of Plymouth Road Pc?
  • A: The npi number for Supreme Dental Of Plymouth Road Pc is 1649693102.
  • Q: What are Supreme Dental Of Plymouth Road Pc's specialties?
  • A: Supreme Dental Of Plymouth Road Pc's specialties are Dentist and different specialities.
  • Q: Where is Supreme Dental Of Plymouth Road Pc business practice location?
  • A: Supreme Dental Of Plymouth Road Pc business practice location is 20720 Plymouth Rd, Detroit, MI 48228.
  • Q: How to contact Supreme Dental Of Plymouth Road Pc?
  • A: You can contact Supreme Dental Of Plymouth Road Pc via 313-342-1997.
  • Q: What is the authorized official for Supreme Dental Of Plymouth Road Pc?
  • A: The authorized office name is Michele Bloxson with position/title is President and you can reach the authorized official via phone number 3134166806.
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