| Ez Dentist Pllc | |
|
27150 Providence Pkwy Ste B Novi MI 48374-1272 | |
| (280) 270-8315 | |
| Not Available |
| Full Name | Ez Dentist Pllc |
|---|---|
| Speciality | Dentist |
| Location | 27150 Providence Pkwy Ste B, Novi, Michigan |
| Authorized Official Name and Position | Harjot Virk (DR) |
| Authorized Official Contact | 3139150015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ez Dentist Pllc 27072 Debiasi Dr Brownstown MI 48174 Ph: (313) 915-0015 | Ez Dentist Pllc 27150 Providence Pkwy Ste B Novi MI 48374-1272 Ph: (280) 270-8315 |
| NPI Number | 1558126763 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 4880031434 |
|---|---|
| Medicare Enrollment ID | O20240319002592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558126763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Harjot Virk |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447532072 PECOS PAC ID: 9830488451 Enrollment ID: I20240319002679 |
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