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NPI Code Detail

MEDICARE: WEST OAKS DENTAL GROUP, P.C.

MEDICARE: WEST OAKS DENTAL GROUP, P.C.
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1215545454
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST OAKS DENTAL GROUP, P.C.
Provider Business Mailing Address
First Line : 33200 W 14 MILE RD STE 100
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-3570
Country : US
Telephone Number : 248-406-0180
Fax Number : 248-406-5088
Provider Business Practice Location Address
First Line : 33200 W 14 MILE RD STE 100
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-3570
Country : US
Telephone Number : 248-406-0180
Fax Number : 248-406-5088
Authorized Official
Title or Position : OWNER
Name : DR. GEORGE N SELIGMAN
Credential : D.D.S.
Telephone Number : 248-406-0180
Provider Enumeration Date : 07/14/2020
Last Update Date : 03/17/2022

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Directions to “WEST OAKS DENTAL GROUP, P.C. ” Practice Location

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