| Canton Center Dental Pllc | |
|
401 N. Canton Ctr. Rd. Ste. #3 Canton MI 48187-5096 | |
| (734) 217-4370 | |
| Not Available |
| Full Name | Canton Center Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 401 N. Canton Ctr. Rd. Ste. #3, Canton, Michigan |
| Authorized Official Name and Position | Steven Lawrence Fletcher (PRESIDENT) |
| Authorized Official Contact | 7342174370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Center Dental Pllc 401 N. Canton Center Road Suite #3 Canton MI 48187-5096 Ph: (734) 217-4370 | Canton Center Dental Pllc 401 N. Canton Ctr. Rd. Ste. #3 Canton MI 48187-5096 Ph: (734) 217-4370 |
| NPI Number | 1598187668 |
|---|---|
| Provider Enumeration Date | 01/09/2014 |
| Last Update Date | 01/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598187668 | NPI | - | NPPES |
| 1811954415 | Other | MI | NPPES |
| 19526324547 | Other | MI | NNPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901020144 (Michigan) | Primary |
| 122300000X | Dentist | 2901017652 (Michigan) | Secondary |
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