Provider Type Icon

DISTINCTIVE DENTAL NPI 1295902302


NPI Information

NPI: 1295902302
Provider Name: DISTINCTIVE DENTAL
Classification: Dental Laboratory - 292200000X
Entity Type: Organization
Address:
58047 VAN DYKE RD
SUITE #101
WASHINGTON TWP, MI
ZIP 48094
Phone: (586) 207-6013
Get Directions

DISTINCTIVE DENTAL is a dental laboratory in Washington Twp, MI. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. DISTINCTIVE DENTAL NPI is 1295902302. The provider is registered as an organization entity type.

The provider's business location address is:

58047 VAN DYKE RD
SUITE #101
WASHINGTON TWP, MI
ZIP 48094-000
Phone: (586) 207-6013
Fax: (586) 207-6300

The provider's authorized official is Thomas Michael Davidson .
The authorized official title is Dentist and has the following contact phone number (586) 207-6013.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 5/8/2008.


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
1292200000XDental Laboratory2901017188MICHIGANYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.