| Kennedy Dental | |
|
1193 Southfield Rd Lincoln Park MI 48146-2450 | |
| (313) 388-1800 | |
| (313) 388-5527 |
| Full Name | Kennedy Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1193 Southfield Rd, Lincoln Park, Michigan |
| Authorized Official Name and Position | Abbas Hussein Berro (DENTIST/PRESIDENT) |
| Authorized Official Contact | 3133881800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Dental 1193 Southfield Rd Lincoln Park MI 48146-2450 Ph: (313) 388-1800 | Kennedy Dental 1193 Southfield Rd Lincoln Park MI 48146-2450 Ph: (313) 388-1800 |
| NPI Number | 1285884734 |
|---|---|
| Provider Enumeration Date | 09/22/2008 |
| Last Update Date | 09/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285884734 | NPI | - | NPPES |
| 4979625 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901019129 (Michigan) | Primary |
The Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Champaign, Lincoln Park, MI 48146 Phone: 313-386-9660 Fax: 313-386-5515 | |
Lincoln Park Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3577 Fort St, Lincoln Park, MI 48146 Phone: 313-388-0103 Fax: 313-388-3219 | |
Fort Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3515 Fort St, Lincoln Park, MI 48146 Phone: 313-386-9404 Fax: 313-386-9405 | |
Advanced Dental Center, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3611 Fort St, Lincoln Park, MI 48146 Phone: 313-382-4880 Fax: 313-382-0368 | |
Dental Health Group Of Michgian Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3257 Fort Road, Lincoln Park, MI 48146 Phone: 313-383-2270 Fax: 313-383-2558 | |
Prime Dentistry Lincoln Park Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1880 Emmons Blvd, Lincoln Park, MI 48146 Phone: 313-388-8444 | |
Fort Street Dentistry Dental Clinic Medicare: Medicare Enrolled Practice Location: 4009 Fort St, Lincoln Park, MI 48146 Phone: 313-928-8555 Fax: 313-928-1399 |