| Park Dental Service, P.c. | |
|
18935 Grand River Ave Detroit MI 48223-2273 | |
| (313) 835-8280 | |
| (313) 835-2879 |
| Full Name | Park Dental Service, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18935 Grand River Ave, Detroit, Michigan |
| Authorized Official Name and Position | Eric Smith (OWNER) |
| Authorized Official Contact | 3138358280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Service, P.c. 18935 Grand River Ave Detroit MI 48223-2273 Ph: (313) 835-8280 | Park Dental Service, P.c. 18935 Grand River Ave Detroit MI 48223-2273 Ph: (313) 835-8280 |
| NPI Number | 1225584758 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 08/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225584758 | NPI | - | NPPES |
| 1929970 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13515 (Michigan) | Primary |
Advantage Health Centers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15400 W Mcnichols Rd, Detroit, MI 48235 Phone: 313-416-6262 Fax: 313-221-8217 | |
Pdc Managemen Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5831 W Vernor Hwy, Detroit, MI 48209 Phone: 313-842-8300 Fax: 313-842-8530 | |
Smiley Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15510 Livernois Ave, Detroit, MI 48238 Phone: 313-863-2800 Fax: 313-863-5054 | |
Allenandallendental & Associates P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10720 W 7 Mile Road, Detroit, MI 48221 Phone: 313-345-4444 Fax: 313-345-4106 | |
Super Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15510 Livernois Ave, Detroit, MI 48238 Phone: 313-863-2800 | |
Megan M Faircloth Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3374 E Jefferson Ave, Detroit, MI 48207 Phone: 313-259-2410 | |
University Otolaryngology Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St, Suite 5g, Detroit, MI 48201 Phone: 313-745-4656 |