MEDICARE: JEWELL FAMILY DENTAL

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	1223G0001X	General Practice Dentistry	17336	MI

General Provider Information

NPI Number	:	1932319746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEWELL FAMILY DENTAL

Provider Business Mailing Address
First Line	:	19135 GRAND RIVER AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48223-1704
Country	:	US
Telephone Number	:	313-535-7770
Fax Number	:

Provider Business Practice Location Address
First Line	:	19135 GRAND RIVER AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48223-1704
Country	:	US
Telephone Number	:	313-535-7770
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. REGINALD BERNARD JEWELL
Credential	:	DDS
Telephone Number	:	313-535-7770

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	10/01/2007

Similar Medicare Providers

1053527812 — DR. REGINALD BERNARD JEWELL DDS
Practice Location Address:

19135 GRAND RIVER AVE
DETROIT, MI
48223-1704

Practice Phone: 313-535-7770
Practice Fax:

1144650581 — JOYFUL BOND
Practice Location Address:

19151 GRAND RIVER AVE
DETROIT, MI
48223-1704

Practice Phone: 313-600-7768
Practice Fax:

1548690977 — TIA FAILS
Practice Location Address:

19151 GRAND RIVER AVE
DETROIT, MI
48223-1704

Practice Phone: 313-600-7768
Practice Fax: 313-794-3001

1578426839 — JIMIA STARR GREEN PHLEBOTOMY
Practice Location Address:

16129 W MCNICHOLS ROAD
DETROIT, MI
48235-1704

Practice Phone: 313-370-7849
Practice Fax: 231-216-7861

1760056279 — GRANNY'S HELPERS
Practice Location Address:

16129 W MCNICHOLS RD
DETROIT, MI
48235-1704

Practice Phone: 313-370-7849
Practice Fax: 231-216-7861

1225414584 — COREY BROADEN
Practice Location Address:

19796 SAN JUAN DR
DETROIT, MI
48221-1704

Practice Phone: 313-450-3711
Practice Fax:

Directions to “JEWELL FAMILY DENTAL ” 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.