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NPI Code Detail

MEDICARE: VINCENT I. STROCKIS, D.D.S. P.C.

MEDICARE: VINCENT I. STROCKIS, D.D.S. 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 Dentistry2901010369MI

General Provider Information

NPI Number : 1740290949
Entity Type Code : Organization
Provider Name (Legal Business Name) : VINCENT I. STROCKIS, D.D.S. P.C.
Provider Business Mailing Address
First Line : 7320 WOODSIDE RD
Second Line :
City : LEXINGTON
State : MI
Zip : 48450-8954
Country : US
Telephone Number : 810-359-2629
Fax Number :
Provider Business Practice Location Address
First Line : 35000 DIVISION RD
Second Line : SUITE 4
City : RICHMOND
State : MI
Zip : 48062-1566
Country : US
Telephone Number : 586-727-1100
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. VINCENT I. STROCKIS
Credential : D.D.S.
Telephone Number : 810-359-2629
Provider Enumeration Date : 08/09/2006
Last Update Date : 08/22/2020

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Directions to “VINCENT I. STROCKIS, D.D.S. P.C. ” Practice Location

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