| John M Sushko Dds Pc | |
|
720 N Old Woodward Ave Suite 201 Birmingham MI 48009-1342 | |
| (248) 644-5735 | |
| (248) 644-6465 |
| Full Name | John M Sushko Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 720 N Old Woodward Ave, Birmingham, Michigan |
| Authorized Official Name and Position | John Michael Sushko (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2486445735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Sushko Dds Pc 720 N Old Woodward Ave Suite 201 Birmingham MI 48009-1342 Ph: (248) 644-5735 | John M Sushko Dds Pc 720 N Old Woodward Ave Suite 201 Birmingham MI 48009-1342 Ph: (248) 644-5735 |
| NPI Number | 1366597148 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366597148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1810857 (Michigan) | Primary |
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