Healthcare Provider Details

I. General information

NPI: 1063559003
Provider Name (Legal Business Name): ARNOLD J KOLLIN DDD, MAURICE S OPPERER DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42370 VAN DYKE AVE
STERLING HTS MI
48314-3487
US

IV. Provider business mailing address

42370 VAN DYKE AVE
STERLING HTS MI
48314-3487
US

V. Phone/Fax

Practice location:
  • Phone: 586-254-3860
  • Fax: 586-254-6575
Mailing address:
  • Phone: 586-254-3860
  • Fax: 586-254-6575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number8324
License Number StateMI

VIII. Authorized Official

Name: DR. ARNOLD J KOLLIN
Title or Position: PRES.
Credential: DDS
Phone: 586-245-3860