Healthcare Provider Details

I. General information

NPI: 1699819755
Provider Name (Legal Business Name): PINKNEY, GREENBAUM, MACFARLAND DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42301 CHERRY HILL RD SUITE D
CANTON MI
48188-9801
US

IV. Provider business mailing address

21778 SHEFFIELD DR
FARMINGTON HILLS MI
48335-5463
US

V. Phone/Fax

Practice location:
  • Phone: 734-981-4040
  • Fax: 734-981-2683
Mailing address:
  • Phone: 734-981-4040
  • Fax: 734-981-2683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number29010111615
License Number StateMI

VIII. Authorized Official

Name: DR. HENRY PINKNEY
Title or Position: OWNER
Credential: D.D.S.
Phone: 734-981-4040