| Mcadoo Dental | |
|
18424 W Mcnichols Rd Detroit MI 48219-4161 | |
| (313) 537-3800 | |
| (313) 537-2080 |
| Full Name | Mcadoo Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18424 W Mcnichols Rd, Detroit, Michigan |
| Authorized Official Name and Position | Gerald Mcadoo (OWNER) |
| Authorized Official Contact | 3135373800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcadoo Dental 18424 W Mcnichols Rd Detroit MI 48219-4161 Ph: (313) 537-3800 | Mcadoo Dental 18424 W Mcnichols Rd Detroit MI 48219-4161 Ph: (313) 537-3800 |
| NPI Number | 1417014770 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417014770 | NPI | - | NPPES |
| 4056710 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 08693 (Michigan) | Primary |
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