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NPI Code Detail

MEDICARE: FLAT ROCK DENTAL, P.C.

MEDICARE: FLAT ROCK DENTAL, 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
1122300000XDentist

General Provider Information

NPI Number : 1770706715
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLAT ROCK DENTAL, P.C.
Provider Business Mailing Address
First Line : 26500 W HURON RIVER DR
Second Line :
City : FLAT ROCK
State : MI
Zip : 48134-1135
Country : US
Telephone Number : 734-782-3500
Fax Number : 734-782-0938
Provider Business Practice Location Address
First Line : 26500 W HURON RIVER DR
Second Line :
City : FLAT ROCK
State : MI
Zip : 48134-1135
Country : US
Telephone Number : 734-782-3500
Fax Number : 734-782-0938
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. MARIANNE T. WILLIAMS
Credential :
Telephone Number : 734-782-3500
Provider Enumeration Date : 04/10/2007
Last Update Date : 08/22/2020

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Directions to “FLAT ROCK DENTAL, P.C. ” Practice Location

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