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ALPHA FAMILY DENTAL PC NPI 1083015317


NPI Information

NPI: 1083015317
Provider Name: ALPHA FAMILY DENTAL PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
31315 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48082
Phone: (586) 293-3434
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ALPHA FAMILY DENTAL PC is a dental clinic center in Saint Clair Shores, MI. ALPHA FAMILY DENTAL PC NPI is 1083015317. The provider is registered as an organization entity type.

The provider's business location address is:

31315 HARPER AVE
SAINT CLAIR SHORES, MI
ZIP 48082-453
Phone: (586) 293-3434
Fax: (586) 293-4460

The provider's authorized official is Camilo Machado .
The authorized official title is Owner/dentist and has the following contact phone number (586) 293-3434.

The enumeration date for this NPI number is 9/5/2014 and was last updated on 9/5/2014.


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
1261QD0000XClinic/CenterDental20116MICHIGANYes

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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