WEST BLOOMFIELD CENTER FOR DENTISTRY PC NPI 1093450041

NPI Information

  • NPI: 1093450041
  • Provider Name: WEST BLOOMFIELD CENTER FOR DENTISTRY PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 5807 W MAPLE RD STE 181
    WEST BLOOMFIELD, MI
    ZIP 48322
  • Phone: (247) 487-0160

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NPI Details

WEST BLOOMFIELD CENTER FOR DENTISTRY PC is a dental clinic center in West Bloomfield, MI. WEST BLOOMFIELD CENTER FOR DENTISTRY PC NPI is 1093450041. The provider is registered as an organization entity type.

The provider's business location address is:

5807 W MAPLE RD STE 181
WEST BLOOMFIELD, MI
ZIP 48322-483
Phone: (247) 487-0160
Fax: (248) 487-0165

The provider's authorized official is Darren Eugene Young .
The authorized official title is Owner/dentist and has the following contact phone number (248) 487-0160.

The enumeration date for this NPI number is 5/4/2022 and was last updated on 5/4/2022.

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/CenterDentalYes

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: 3/30/2025

NPI Synchronization or Removal

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