Healthcare Provider Details

I. General information

NPI: 1871417501
Provider Name (Legal Business Name): APEX DENTAL CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15290 E 14 MILE RD
FRASER MI
48026-2029
US

IV. Provider business mailing address

15290 E 14 MILE RD
FRASER MI
48026-2029
US

V. Phone/Fax

Practice location:
  • Phone: 586-229-6480
  • Fax:
Mailing address:
  • Phone: 586-229-6480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GERALDINA BIJA
Title or Position: OWNER
Credential: DDS
Phone: 586-229-6480