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GROSSE POINTE VILLAGE DENTISTRY NPI 1871679811


NPI Information

NPI: 1871679811
Provider Name: GROSSE POINTE VILLAGE DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
16842 KERCHEVAL
GROSSE POINTE, MI
ZIP 48230
Phone: (313) 886-8220
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GROSSE POINTE VILLAGE DENTISTRY is a general practice dentist in Grosse Pointe, 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. GROSSE POINTE VILLAGE DENTISTRY NPI is 1871679811. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16842 KERCHEVAL
GROSSE POINTE, MI
ZIP 48230
Phone: (313) 886-8220

The provider's authorized official is John Gerald Okonowski .
The authorized official title is President and has the following contact phone number (313) 886-8220.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral Practice2901014768MICHIGANYes

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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