| Signature Endodontics | |
|
24911 Little Mack Ave Suite B Saint Clair Shores MI 48080-3200 | |
| (586) 863-1336 | |
| (586) 863-1499 |
| Full Name | Signature Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 24911 Little Mack Ave, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Kimberly Kay Melegari (OWNER) |
| Authorized Official Contact | 5868631336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Endodontics 24911 Little Mack Ave Suite B Saint Clair Shores MI 48080-3200 Ph: (586) 863-1336 | Signature Endodontics 24911 Little Mack Ave Suite B Saint Clair Shores MI 48080-3200 Ph: (586) 863-1336 |
| NPI Number | 1649678483 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649678483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 5315020321 (Michigan) | Primary |
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