| Wolverine Cosmetic Dental L.l.c | |
|
17070 W. 12 Mile Rd C Southfield MI 48076-2116 | |
| (248) 395-4700 | |
| (248) 395-4703 |
| Full Name | Wolverine Cosmetic Dental L.l.c |
|---|---|
| Speciality | Dentist |
| Location | 17070 W. 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Sahar Barbat (DOCTOR) |
| Authorized Official Contact | 2483954700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolverine Cosmetic Dental L.l.c 17070 W 12 Mile Rd C Southfield MI 48076-2116 Ph: (248) 395-4700 | Wolverine Cosmetic Dental L.l.c 17070 W. 12 Mile Rd C Southfield MI 48076-2116 Ph: (248) 395-4700 |
| NPI Number | 1881859239 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881859239 | NPI | - | NPPES |
| 1497949945 | Medicaid | MI | |
| 1437252467 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901019508 (Michigan) | Primary |
Northeast Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21500 Northwestern Hwy, Suite 640, Southfield, MI 48075 Phone: 248-552-0166 | |
Gagoh Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24450 Evergreen Rd, Suite 101, Southfield, MI 48075 Phone: 248-350-3366 Fax: 248-350-0457 | |
Stephen E. Gork, Dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26771 W 12 Mile Rd, G-115, Southfield, MI 48034 Phone: 248-353-7440 Fax: 248-353-3148 | |
Uppleger Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30855 Southfield Rd, Southfield, MI 48076 Phone: 248-792-2400 | |
Southfield Kids Dentist Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18900 W 10 Mile Rd, Southfield, MI 48075 Phone: 248-565-3332 | |
Southfield Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 12 Mile Rd, Suite 3, Southfield, MI 48076 Phone: 248-569-6722 Fax: 248-569-7409 | |
Michigan 3-d Dental Imaging Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29829 Telegraph Rd, Ste 111, Southfield, MI 48034 Phone: 248-357-3100 Fax: 248-357-1626 |