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40105 Grand River Ave Ste 2 Novi MI 48375-2170 | |
| (248) 478-3232 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 40105 Grand River Ave Ste 2, Novi, Michigan |
| Authorized Official Name and Position | Daphne West (ASSISTANT OFFICE MANAGER) |
| Authorized Official Contact | 2484783232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
40105 Grand River Ave Ste 2 Novi MI 48375-2170 Ph: (248) 478-3232 | 40105 Grand River Ave Ste 2 Novi MI 48375-2170 Ph: (248) 478-3232 |
| NPI Number | 1265682900 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 09/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265682900 | NPI | - | NPPES |
| 2669122 | Medicaid | MI | |
| 2823071 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901011539 (Michigan) | Primary |
Gd Associates, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23895 Novi Rd, Suite 500, Novi, MI 48375 Phone: 248-374-2273 Fax: 248-349-5398 | |
David Bradley Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42010 Grand River Avenue, Novi, MI 48375 Phone: 248-380-9330 Fax: 248-380-9359 | |
Nevin Tchaoucheva Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41714 W. Ten Mile Rd, Novi, MI 48375 Phone: 248-449-4300 | |
Spillane And Reynolds Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45500 W 10 Mile Rd, Novi, MI 48374 Phone: 248-344-8400 Fax: 248-344-8183 |