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NPI Code Detail

MEDICARE: VERIMAX

MEDICARE: VERIMAX
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
1261QD0000XDental Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356000665
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERIMAX
Provider Business Mailing Address
First Line : 3229 STUART LN
Second Line :
City : DEARBORN
State : MI
Zip : 48120-1358
Country : US
Telephone Number : 313-213-3186
Fax Number :
Provider Business Practice Location Address
First Line : 5731 ALLEN RD
Second Line :
City : ALLEN PARK
State : MI
Zip : 48101-2605
Country : US
Telephone Number : 313-253-0450
Fax Number : 313-908-4146
Authorized Official
Title or Position : OWNER
Name : JOHN CARSON
Credential : DDS
Telephone Number : 313-213-3186
Provider Enumeration Date : 12/14/2021
Last Update Date : 12/14/2021

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Directions to “VERIMAX ” Practice Location

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