SOUTHGATE FAMILY DENTAL NPI 1124646781

NPI Information

NPI: 1124646781
Provider Name: SOUTHGATE FAMILY DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
15185 ALLEN RD
SOUTHGATE, MI
ZIP 48195
Phone: (734) 324-2000
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SOUTHGATE FAMILY DENTAL is a dental clinic center in Southgate, MI. SOUTHGATE FAMILY DENTAL NPI is 1124646781. The provider is registered as an organization entity type.

The provider's business location address is:

15185 ALLEN RD
SOUTHGATE, MI
ZIP 48195-921
Phone: (734) 324-2000
Fax: (734) 324-2092

The provider's authorized official is Lisa Chamberlain .
The authorized official title is Office Manager and has the following contact phone number (734) 324-2000.

The enumeration date for this NPI number is 7/10/2020 and was last updated on 7/13/2020.

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			Yes

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

NPI Synchronization or Removal

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