| Jerel N Owens, Dmd, Pc | |
|
15344 W Mcnichols Rd Detroit MI 48235-3722 | |
| (313) 273-0640 | |
| (313) 273-0118 |
| Full Name | Jerel N Owens, Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15344 W Mcnichols Rd, Detroit, Michigan |
| Authorized Official Name and Position | Jerel Nathaniel Owens (PRESIDENT) |
| Authorized Official Contact | 3132730640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerel N Owens, Dmd, Pc 15344 W Mcnichols Rd Detroit MI 48235-3722 Ph: (313) 273-0640 | Jerel N Owens, Dmd, Pc 15344 W Mcnichols Rd Detroit MI 48235-3722 Ph: (313) 273-0640 |
| NPI Number | 1437546439 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 04/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437546439 | NPI | - | NPPES |
| 1760633747 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901011444 (Michigan) | Primary |
Advantage Health Centers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15400 W Mcnichols Rd, Detroit, MI 48235 Phone: 313-416-6262 Fax: 313-221-8217 | |
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Megan M Faircloth Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3374 E Jefferson Ave, Detroit, MI 48207 Phone: 313-259-2410 | |
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