| Michael J. Deporre, D.d.s., P.c. | |
|
2490 Walton Blvd Suite 202 Rochester Hills MI 48309-1484 | |
| (248) 656-2244 | |
| (248) 656-0225 |
| Full Name | Michael J. Deporre, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2490 Walton Blvd, Rochester Hills, Michigan |
| Authorized Official Name and Position | Michael Joseph Deporre (PRESIDENT) |
| Authorized Official Contact | 2486562244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Deporre, D.d.s., P.c. 2490 Walton Blvd Suite 202 Rochester Hills MI 48309-1484 Ph: (248) 656-2244 | Michael J. Deporre, D.d.s., P.c. 2490 Walton Blvd Suite 202 Rochester Hills MI 48309-1484 Ph: (248) 656-2244 |
| NPI Number | 1932292216 |
|---|---|
| Provider Enumeration Date | 10/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932292216 | NPI | - | NPPES |
| 4658155 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13866 (Michigan) | Primary |
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