MEDICARE: MIDENTALONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1306561576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDENTALONE

Provider Business Mailing Address
First Line	:	111 ROCHDALE DR S STE A
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2274
Country	:	US
Telephone Number	:	248-652-1020
Fax Number	:	248-652-1022

Provider Business Practice Location Address
First Line	:	111 ROCHDALE DR S STE A
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2274
Country	:	US
Telephone Number	:	248-652-1020
Fax Number	:	248-652-1022

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PETER ALEXANDER DUZ
Credential	:	DDS
Telephone Number	:	248-245-5083

Provider Enumeration Date	:	10/10/2022
Last Update Date	:	10/10/2022

Similar Medicare Providers

1669540621 — DUCHARME CHIROPRACTIC CENTER P.C.
Practice Location Address:

111 ROCHDALE DR S , SUITE B
ROCHESTER HILLS, MI
48309-2274

Practice Phone: 248-652-8686
Practice Fax: 248-601-2933

1134297187 — DR. ROBERT MICHAEL DUCHARME D.C.
Practice Location Address:

111 ROCHDALE DR S , SUITE B
ROCHESTER HILLS, MI
48309-2274

Practice Phone: 248-652-8686
Practice Fax: 248-601-2933

1912124165 — DR. NICOLE LYNNE PHIPPS D.C.
Practice Location Address:

111 ROCHDALE DR S STE B
ROCHESTER HILLS, MI
48309-2274

Practice Phone: 248-652-8686
Practice Fax: 248-601-2933

1689824039 — DR. STEVEN L LIPTON DDS
Practice Location Address:

111 ROCHDALE DR S
ROCHESTER HILLS, MI
48309-2274

Practice Phone: 248-652-1020
Practice Fax:

1881639540 — MR. DERECK B HOPE P.T.
Practice Location Address:

1266 LEGEND HILLS DR
CLEARFIELD, UT
84015-2274

Practice Phone: 801-776-6000
Practice Fax: 801-776-1166

1316098890 — SARAH G. IANNONE LISW
Practice Location Address:

1074 CANYON VIEW RD
SAGAMORE HILLS, OH
44067-2274

Practice Phone: 440-272-4617
Practice Fax: 216-371-5425

Directions to “MIDENTALONE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.