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A1 FAMILY DENTISTRY OF LICOLN PARKPLC NPI 1366826182


NPI Information

NPI: 1366826182
Provider Name: A1 FAMILY DENTISTRY OF LICOLN PARK,PLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3830 FORT ST
LINCOLN PARK, MI
ZIP 48146
Phone: (586) 226-0638
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A1 FAMILY DENTISTRY OF LICOLN PARK,PLC is a general practice dentist in Lincoln Park, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. A1 FAMILY DENTISTRY OF LICOLN PARK,PLC NPI is 1366826182. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3830 FORT ST
LINCOLN PARK, MI
ZIP 48146-107
Phone: (586) 226-0638

The provider's authorized official is Aneel Kaurr Randhawa .
The authorized official title is Owner and has the following contact phone number (586) 226-0638.

The enumeration date for this NPI number is 7/10/2015 and was last updated on 7/10/2015.


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
11223G0001XDentistGeneral Practice2901019199MICHIGANYes

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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