Apple Dental | |
28225 Hoover Rd Warren MI 48093-5436 | |
(586) 751-6868 | |
(586) 751-6264 |
Full Name | Apple Dental |
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Speciality | Dentist |
Location | 28225 Hoover Rd, Warren, Michigan |
Authorized Official Name and Position | Mark A Kohn (OWNER PRESIDENT) |
Authorized Official Contact | 5867516868 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Apple Dental 28225 Hoover Rd Warren MI 48093-5436 Ph: (586) 751-6868 | Apple Dental 28225 Hoover Rd Warren MI 48093-5436 Ph: (586) 751-6868 |
NPI Number | 1386667582 |
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Provider Enumeration Date | 07/26/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4385645613 |
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Medicare Enrollment ID | O20070129000638 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386667582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 15192 (Michigan) | Primary |
Provider Name | Mark A Kohn |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1689645988 PECOS PAC ID: 0941201271 Enrollment ID: I20070129000626 |
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