| Detroit Caring Dentistry | |
|
18595 Grand River Ave Detroit MI 48223-2377 | |
| (313) 832-0800 | |
| Not Available |
| Full Name | Detroit Caring Dentistry |
|---|---|
| Speciality | Clinic/Center |
| Location | 18595 Grand River Ave, Detroit, Michigan |
| Authorized Official Name and Position | David Jeffrey Hill (PRESIDENT) |
| Authorized Official Contact | 3134772658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Caring Dentistry 17410 Fairway Dr Detroit MI 48221-2782 Ph: (313) 477-2658 | Detroit Caring Dentistry 18595 Grand River Ave Detroit MI 48223-2377 Ph: (313) 832-0800 |
| NPI Number | 1861812075 |
|---|---|
| Provider Enumeration Date | 04/27/2014 |
| Last Update Date | 04/27/2014 |
| Medicare PECOS PAC ID | 9032549225 |
|---|---|
| Medicare Enrollment ID | O20200501001299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861812075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901014862 (Michigan) | Primary |
| Provider Name | David J Hill |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700958477 PECOS PAC ID: 4789989237 Enrollment ID: I20200513000599 |
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