| Artesian Dental Group, Plc | |
|
18940 Schoolcraft Detroit MI 48223-2906 | |
| (313) 835-6758 | |
| (313) 835-6759 |
| Full Name | Artesian Dental Group, Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18940 Schoolcraft, Detroit, Michigan |
| Authorized Official Name and Position | Melanie Elaine Mayberry (DENTIST OWNER) |
| Authorized Official Contact | 3138356758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Artesian Dental Group, Plc P.o.box 21-785 Detroit MI 48221 Ph: (313) 835-6758 | Artesian Dental Group, Plc 18940 Schoolcraft Detroit MI 48223-2906 Ph: (313) 835-6758 |
| NPI Number | 1831264621 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831264621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901016544 (Michigan) | Primary |
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