MEDICARE: DAVID N. KAM, 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
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1811161060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID N. KAM, D.D.S., P.C.

Provider Business Mailing Address
First Line	:	155 N CANTON CENTER RD
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2901
Country	:	US
Telephone Number	:	734-844-1300
Fax Number	:	734-844-5072

Provider Business Practice Location Address
First Line	:	155 N CANTON CENTER RD
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2901
Country	:	US
Telephone Number	:	734-844-1300
Fax Number	:	734-844-5072

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID KAM
Credential	:	DDS
Telephone Number	:	734-844-1300

Provider Enumeration Date	:	04/18/2008
Last Update Date	:	07/25/2008

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