| Dr Stephen Gork, D.d.s., P.c. | |
|
26771 W 12 Mile Rd Suite G-115 Southfield MI 48034-1539 | |
| (248) 353-7440 | |
| (248) 353-3148 |
| Full Name | Dr Stephen Gork, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26771 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Stephen E Gork (DOCTOR/OWNER) |
| Authorized Official Contact | 2483537440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Gork, D.d.s., P.c. 26771 W 12 Mile Rd Suite G-115 Southfield MI 48034-1539 Ph: (248) 353-7440 | Dr Stephen Gork, D.d.s., P.c. 26771 W 12 Mile Rd Suite G-115 Southfield MI 48034-1539 Ph: (248) 353-7440 |
| NPI Number | 1578578381 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578578381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1269604 (Michigan) | Primary |
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