| The Dental Clinic Pc | |
|
1359 Champaign Lincoln Park MI 48146-3303 | |
| (313) 386-9660 | |
| (313) 386-5515 |
| Full Name | The Dental Clinic Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1359 Champaign, Lincoln Park, Michigan |
| Authorized Official Name and Position | Thomas Michael Collins (PRESIDENT) |
| Authorized Official Contact | 3133869660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Clinic Pc 1359 Champaign Lincoln Park MI 48146-3303 Ph: (313) 386-9660 | The Dental Clinic Pc 1359 Champaign Lincoln Park MI 48146-3303 Ph: (313) 386-9660 |
| NPI Number | 1003929662 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003929662 | NPI | - | NPPES |
| 1958213740 | Other | MI | BLUE CROSS MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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