| North Oakland Dental Center | |
|
35 S Johnson St Suite 2a Pontiac MI 48341-1658 | |
| (248) 333-2424 | |
| (248) 623-1252 |
| Full Name | North Oakland Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 35 S Johnson St, Pontiac, Michigan |
| Authorized Official Name and Position | Richard Thomas Mcdonald (OWNER) |
| Authorized Official Contact | 2483332424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Oakland Dental Center 35 S Johnson St Suite 2a Pontiac MI 48341-1658 Ph: (248) 333-2424 | North Oakland Dental Center 35 S Johnson St Suite 2a Pontiac MI 48341-1658 Ph: (248) 333-2424 |
| NPI Number | 1306032511 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306032511 | NPI | - | NPPES |
| 2810761 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901007892 (Michigan) | Primary |
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