| Dental Care Management, Inc. | |
|
15311 W Mcnichols Rd Detroit MI 48235-3723 | |
| (313) 838-0490 | |
| Not Available |
| Full Name | Dental Care Management, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15311 W Mcnichols Rd, Detroit, Michigan |
| Authorized Official Name and Position | John Ilitch (VICE-PRESIDENT) |
| Authorized Official Contact | 3138380490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Management, Inc. 15311 W Mcnichols Rd Detroit MI 48235-3723 Ph: (313) 838-0490 | Dental Care Management, Inc. 15311 W Mcnichols Rd Detroit MI 48235-3723 Ph: (313) 838-0490 |
| NPI Number | 1528139540 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528139540 | NPI | - | NPPES |
| 2935560 | Medicaid | MI | |
| 4915010 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14256 (Michigan) | Primary |
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