MEDICARE: COLBERT DAVIS DDS PC

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	122300000X	Dentist		MI

Other Identifiers

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

General Provider Information

NPI Number	:	1790877223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLBERT DAVIS DDS PC

Provider Business Mailing Address
First Line	:	8325 GRAND RIVER AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48204-2231
Country	:	US
Telephone Number	:	313-894-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8325 GRAND RIVER AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48204-2231
Country	:	US
Telephone Number	:	313-894-0000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT &TREASURER
Name	:	HARVEY COLBERT
Credential	:	D.D.S.
Telephone Number	:	313-493-0440

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1699767475 — DR. BARRY D. BRONSTEIN D.O.
Practice Location Address:

8305 GRAND RIVER AVE
DETROIT, MI
48204-2231

Practice Phone: 313-894-1900
Practice Fax: 313-894-4206

1255324075 — KLM PHARMACY, INC.
Practice Location Address:

8305 GRAND RIVER AVE
DETROIT, MI
48204-2231

Practice Phone: 313-898-2450
Practice Fax: 313-898-2461

1649329590 — STUART E KIRSCHENBAUM
Practice Location Address:

8319 GRAND RIVER AVE
DETROIT, MI
48204-2231

Practice Phone: 313-894-5100
Practice Fax:

1891833034 — DR. LEONARD ERNEST DAVIS JR. DDS
Practice Location Address:

8325 GRAND RIVER AVE
DETROIT, MI
48204-2231

Practice Phone: 313-894-0000
Practice Fax: 313-894-0001

1659569796 — INFUSAL DIRECT, INC.
Practice Location Address:

8315 GRAND RIVER AVE
DETROIT, MI
48204-2231

Practice Phone: 313-361-1030
Practice Fax:

1134318066 — KIM LOGAN COMMUNICATIONS CLINIC INC
Practice Location Address:

8313 GRAND RIVER AVE
DETROIT, MI
48204-2231

Practice Phone: 313-898-8200
Practice Fax: 313-898-2232

Directions to “COLBERT DAVIS DDS PC ” 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.