Contemporary Dentistry & Implantology, P.c. | |
5645 N Sheldon Rd Canton MI 48187-3150 | |
(734) 455-0095 | |
(734) 455-0099 |
Full Name | Contemporary Dentistry & Implantology, P.c. |
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Speciality | Clinic/Center |
Location | 5645 N Sheldon Rd, Canton, Michigan |
Authorized Official Name and Position | Nader Bazzi (PRESIDENT) |
Authorized Official Contact | 7344550095 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Contemporary Dentistry & Implantology, P.c. 5645 N Sheldon Rd Canton MI 48187-3150 Ph: (734) 455-0095 | Contemporary Dentistry & Implantology, P.c. 5645 N Sheldon Rd Canton MI 48187-3150 Ph: (734) 455-0095 |
NPI Number | 1992762454 |
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Provider Enumeration Date | 04/27/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8325027725 |
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Medicare Enrollment ID | O20190307000125 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992762454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 2901017182 (Michigan) | Primary |
Provider Name | Nader Bazzi |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1619934197 PECOS PAC ID: 3779562087 Enrollment ID: I20190307000306 |
Provider Name | Julie Atoui |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1316016140 PECOS PAC ID: 1254588304 Enrollment ID: I20220128000563 |
Provider Name | Rima A Bazzi |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1356308258 PECOS PAC ID: 6406835719 Enrollment ID: I20220128001315 |
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