Mrs Kathryn Louise Roehling, DDS | |
5716 Michigan Ave, Detroit, MI 48210-3039 | |
(313) 554-3880 | |
(313) 899-3550 |
Full Name | Mrs Kathryn Louise Roehling |
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Gender | Female |
Speciality | Dentist |
Location | 5716 Michigan Ave, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548546898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901020426 (Michigan) | Primary |
Entity Name | Covenant Community Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720134943 PECOS PAC ID: 1254393549 Enrollment ID: O20041029000105 |
Mailing Address | Practice Location Address |
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Mrs Kathryn Louise Roehling, DDS 559 West Grand Blvd., Detroit, MI 48216 Ph: (313) 228-2400 | Mrs Kathryn Louise Roehling, DDS 5716 Michigan Ave, Detroit, MI 48210-3039 Ph: (313) 554-3880 |
Dr. Elham Javidan-nejad, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5705 W Vernor Hwy, Detroit, MI 48209 Phone: 313-842-3770 Fax: 313-842-6665 | |
Dr. Swati Dinesh Chitre, DDS,MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 313-494-6814 | |
Minh-phuong Isabelle Kieu, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 313-494-6629 | |
Dennis S Phillips, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 313-745-1977 Fax: 313-745-4370 | |
Karishma M Choksi, B.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 313-494-6700 Fax: 313-745-4370 | |
Dr. Mikhail Arkhipov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 347-782-6999 | |
Dr. Bruce Donigan, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3011 W. Grand Blvd., Suite 862, Detroit, MI 48202 Phone: 313-871-1100 Fax: 313-871-5376 |