A DENTAL CENTER-DOWNRIVER NPI 1528064771

NPI Information

NPI: 1528064771
Provider Name: A DENTAL CENTER-DOWNRIVER
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
17128 FORT ST
RIVERVIEW, MI
ZIP 48193
Phone: (734) 281-3200
Get Directions

A DENTAL CENTER-DOWNRIVER is a point of service in Riverview, MI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. A DENTAL CENTER-DOWNRIVER NPI is 1528064771. The provider is registered as an organization entity type.

The provider's business location address is:

17128 FORT ST
RIVERVIEW, MI
ZIP 48193-619
Phone: (734) 281-3200
Fax: (734) 281-3890

The provider's authorized official is Howard Potocsky .
The authorized official title is Billing and has the following contact phone number (734) 281-3200.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 9/5/2007.

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	305S00000X	Point of Service		17288	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D172880	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
2	4462818	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

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

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.

« Previous NPI

Next NPI »