Healthcare Provider Details
I. General information
NPI: 1750285722
Provider Name (Legal Business Name): HARB FAMILY DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
39393 VAN DYKE AVE STE 106
STERLING HEIGHTS MI
48313-4636
US
IV. Provider business mailing address
39393 VAN DYKE AVE STE 106
STERLING HEIGHTS MI
48313-4636
US
V. Phone/Fax
- Phone: 586-983-8015
- Fax:
- Phone: 586-983-8015
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
FREDERICK
HARB
Title or Position: PRESIDENT
Credential: DDS
Phone: 734-787-8005