MEDICARE: PONKOWSKI FAMILY DENTISTRY PLLC

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

General Provider Information

NPI Number	:	1447004452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PONKOWSKI FAMILY DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	416 ORCHARDALE DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2246
Country	:	US
Telephone Number	:	586-482-0175
Fax Number	:

Provider Business Practice Location Address
First Line	:	39521 GARFIELD RD
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48038-4300
Country	:	US
Telephone Number	:	586-263-4100
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. TIMOTHY JOSEPH PONKOWSKI JR.
Credential	:	DDS
Telephone Number	:	313-820-7002

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	04/16/2024

Similar Medicare Providers

1316349236 — TRI-COUNTY NEUROLOGICAL ASSOCIATES
Practice Location Address:

39581 GARFIELD RD
CLINTON TWP, MI
48038-4300

Practice Phone: 586-286-2770
Practice Fax: 586-286-9080

1396334959 — MRS. TRACIE JAINE DUNCAN
Practice Location Address:

39531 GARFIELD RD
CLINTON TWP, MI
48038-4300

Practice Phone: 248-677-1890
Practice Fax:

1659155414 — TRINITY COUNSELING PLLC
Practice Location Address:

39531 GARFIELD RD
CLINTON TWP, MI
48038-4300

Practice Phone: 248-677-1890
Practice Fax:

1982613956 — GARY J WEINSTEIN
Practice Location Address:

650 CHERRINGTON PKWY
MOON TWP, PA
15108-4300

Practice Phone: 412-269-0444
Practice Fax: 412-269-1594

1316995384 — DR. JAY JOSEPH KANER DO
Practice Location Address:

39581 GARFIELD RD
CLINTON TOWNSHIP, MI
48038-4300

Practice Phone: 586-286-2770
Practice Fax: 586-286-9080

1588753958 — TRICOUNTY NEUROLOGICAL ASSOCIATES, P.C.
Practice Location Address:

39581 GARFIELD RD
CLINTON TOWNSHIP, MI
48038-4300

Practice Phone: 586-286-2770
Practice Fax: 586-286-9080

Directions to “PONKOWSKI FAMILY DENTISTRY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.