MEDICARE: ARNOLD J KOLLIN DDD, MAURICE S OPPERER DDS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	8324	MI

General Provider Information

NPI Number	:	1063559003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARNOLD J KOLLIN DDD, MAURICE S OPPERER DDS PC

Provider Business Mailing Address
First Line	:	42370 VAN DYKE AVE
Second Line	:
City	:	STERLING HTS
State	:	MI
Zip	:	48314-3487
Country	:	US
Telephone Number	:	586-254-3860
Fax Number	:	586-254-6575

Provider Business Practice Location Address
First Line	:	42370 VAN DYKE AVE
Second Line	:
City	:	STERLING HTS
State	:	MI
Zip	:	48314-3487
Country	:	US
Telephone Number	:	586-254-3860
Fax Number	:	586-254-6575

Authorized Official
Title or Position	:	PRES.
Name	:	DR. ARNOLD J KOLLIN
Credential	:	DDS
Telephone Number	:	586-245-3860

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	08/22/2020

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