Healthcare Provider Details

I. General information

NPI: 1154237899
Provider Name (Legal Business Name): ASSURANCE DENTURES & IMPLANTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8327 E 12 MILE RD
WARREN MI
48093-2769
US

IV. Provider business mailing address

8327 E 12 MILE RD
WARREN MI
48093-2769
US

V. Phone/Fax

Practice location:
  • Phone: 586-693-0202
  • Fax: 586-693-0378
Mailing address:
  • Phone: 586-693-0202
  • Fax: 586-693-0378

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: TRACEY COBB
Title or Position: OWNER
Credential: DDS
Phone: 586-693-0202