Summit Family Dental, P.l.l.c. | |
8136 21 Mile Rd. Shelby Twp. MI 48317 | |
(586) 726-0606 | |
(586) 726-1523 |
Full Name | Summit Family Dental, P.l.l.c. |
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Speciality | Dentist - General Practice |
Location | 8136 21 Mile Rd., Shelby Twp., Michigan |
Authorized Official Name and Position | Krista Lynn Wortman (DENTIST) |
Authorized Official Contact | 5867260606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summit Family Dental, P.l.l.c. 8136 21 Mile Rd. Shelby Twp. MI 48317 Ph: (586) 726-0606 | Summit Family Dental, P.l.l.c. 8136 21 Mile Rd. Shelby Twp. MI 48317 Ph: (586) 726-0606 |
NPI Number | 1356435705 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 10/11/2023 |
Identifier | Type | State | Issuer |
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1356435705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |