| Lincoln Park Dental Associates | |
|
3577 Fort St Lincoln Park MI 48146-4114 | |
| (313) 388-0103 | |
| (313) 388-3219 |
| Full Name | Lincoln Park Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3577 Fort St, Lincoln Park, Michigan |
| Authorized Official Name and Position | Anthony Wayne Stines (PRESIDENT) |
| Authorized Official Contact | 3133880103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Park Dental Associates 3577 Fort St Lincoln Park MI 48146-4114 Ph: (313) 388-0103 | Lincoln Park Dental Associates 3577 Fort St Lincoln Park MI 48146-4114 Ph: (313) 388-0103 |
| NPI Number | 1033383716 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033383716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11350 (Michigan) | Primary |
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