Downriver Dental Associates P.c. | |
3830 Fort Street Lincoln Park MI 48146 | |
(313) 383-6800 | |
(313) 383-1026 |
Full Name | Downriver Dental Associates P.c. |
---|---|
Speciality | Dentist - Periodontics |
Location | 3830 Fort Street, Lincoln Park, Michigan |
Authorized Official Name and Position | Ronald Mark Grumet (VICE-PRESIDENT) |
Authorized Official Contact | 3133836800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Downriver Dental Associates P.c. 3830 Fort St. Lincoln Park MI 48146 Ph: (313) 383-6800 | Downriver Dental Associates P.c. 3830 Fort Street Lincoln Park MI 48146 Ph: (313) 383-6800 |
NPI Number | 1336231497 |
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Provider Enumeration Date | 09/28/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336231497 | NPI | - | NPPES |
D803850 | Other | MI | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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