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NPI Code Detail

MEDICARE: THE HUNTINGTON GROUP, P.C.

MEDICARE: THE HUNTINGTON GROUP, P.C.
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
11223S0112XOral and Maxillofacial Surgery (Dentist)2901009537MI

General Provider Information

NPI Number : 1548208010
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HUNTINGTON GROUP, P.C.
Provider Business Mailing Address
First Line : 26111 WOODWARD AVE
Second Line :
City : HUNTINGTON WOODS
State : MI
Zip : 48070-1330
Country : US
Telephone Number : 248-547-8833
Fax Number : 248-547-8836
Provider Business Practice Location Address
First Line : 26111 WOODWARD AVE
Second Line :
City : HUNTINGTON WOODS
State : MI
Zip : 48070-1330
Country : US
Telephone Number : 248-547-8833
Fax Number : 248-547-8836
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN V. GAUL
Credential : DDS, FACD
Telephone Number : 248-547-8833
Provider Enumeration Date : 06/04/2006
Last Update Date : 12/18/2007

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Directions to “THE HUNTINGTON GROUP, P.C. ” Practice Location

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