| Ocie Drake, Jr, Dds, Pc | |
|
18161 W 13 Mile Rd Suite D1 Southfield MI 48076-1113 | |
| (248) 646-6966 | |
| (248) 646-4558 |
| Full Name | Ocie Drake, Jr, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 18161 W 13 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Ocie Drake (PRESIDENT) |
| Authorized Official Contact | 2486466966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocie Drake, Jr, Dds, Pc 18161 W 13 Mile Rd Suite D1 Southfield MI 48076-1113 Ph: (248) 646-6966 | Ocie Drake, Jr, Dds, Pc 18161 W 13 Mile Rd Suite D1 Southfield MI 48076-1113 Ph: (248) 646-6966 |
| NPI Number | 1861401697 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861401697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901010788 (Michigan) | Primary |
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