Nick Leone Dds Pc | |
28018 Harper Ave. St. Clair Shores MI 48081-1562 | |
(586) 775-7750 | |
Not Available |
Full Name | Nick Leone Dds Pc |
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Speciality | Dentist |
Location | 28018 Harper Ave., St. Clair Shores, Michigan |
Authorized Official Name and Position | Nick Leone (CORPORATE OFFICER) |
Authorized Official Contact | 5867757750 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nick Leone Dds Pc 28018 Harper Ave. St. Clair Shores MI 48081-1562 Ph: () - | Nick Leone Dds Pc 28018 Harper Ave. St. Clair Shores MI 48081-1562 Ph: (586) 775-7750 |
NPI Number | 1043568694 |
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Provider Enumeration Date | 08/29/2012 |
Last Update Date | 08/29/2012 |
Medicare PECOS PAC ID | 9133376718 |
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Medicare Enrollment ID | O20120904000787 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043568694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901013480 (Michigan) | Primary |
Provider Name | Nick Leone |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1922115633 PECOS PAC ID: 6406003086 Enrollment ID: I20120904000803 |
Clairpointe Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23995 Greater Mack Avenue, Ste 200, St. Clair Shores, MI 48080 Phone: 313-928-2150 Fax: 313-928-3616 | |
Clairpointe Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23995 Greater Mack Ave, Suite 200, St. Clair Shores, MI 48080 Phone: 586-775-1040 Fax: 586-775-9940 | |
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