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NPI Code Detail

MEDICARE: BAIG DENTAL GROUP, P.C.

MEDICARE: BAIG DENTAL 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
11223G0001XGeneral Practice Dentistry2901017489MI

General Provider Information

NPI Number : 1710039383
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAIG DENTAL GROUP, P.C.
Provider Business Mailing Address
First Line : 23800 ORCHARD LAKE RD
Second Line : STE. 106
City : FARMINGTON HILLS
State : MI
Zip : 48336-2560
Country : US
Telephone Number : 248-755-5700
Fax Number : 248-471-7383
Provider Business Practice Location Address
First Line : 12871 E JEFFERSON AVE
Second Line : STE. C
City : DETROIT
State : MI
Zip : 48215-2754
Country : US
Telephone Number : 313-822-4200
Fax Number : 313-822-0944
Authorized Official
Title or Position : PRESIDENT
Name : DR. MIRZA M BAIG
Credential : D.D.S.
Telephone Number : 248-755-5700
Provider Enumeration Date : 01/17/2007
Last Update Date : 08/22/2020

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