Healthcare Provider Details

I. General information

NPI: 1588681415
Provider Name (Legal Business Name): ACE DENTAL CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 12/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47100 SCHOENHERR RD SUITE A
SHELBY TOWNSHIP MI
48315-4716
US

IV. Provider business mailing address

683 PLUM RIDGE DR
ROCHESTER HILLS MI
48309-1021
US

V. Phone/Fax

Practice location:
  • Phone: 586-566-8338
  • Fax: 586-566-8339
Mailing address:
  • Phone: 248-370-9884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number2901013539
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSE ANN J. BARTNIK
Title or Position: GENERAL PARTNER
Credential: DDS
Phone: 248-370-9884