DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MICHIGAN PRIVATE DENTAL GROUP

MEDICARE: MICHIGAN PRIVATE DENTAL GROUP
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 Dentistry19241MI
21223G0001XGeneral Practice Dentistry15810MI

General Provider Information

NPI Number : 1902203227
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHIGAN PRIVATE DENTAL GROUP
Provider Business Mailing Address
First Line : 27731 JEFFERSON AVE
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48081-1309
Country : US
Telephone Number : 586-771-6440
Fax Number : 586-771-8877
Provider Business Practice Location Address
First Line : 27731 JEFFERSON AVE
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48081-1309
Country : US
Telephone Number : 586-771-6440
Fax Number : 586-771-8877
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANTHONY R BIELKIE
Credential : DDS
Telephone Number : 586-771-3440
Provider Enumeration Date : 12/02/2014
Last Update Date : 12/02/2014

Similar Medicare Providers

1114046976 — MARTIN J FRASCHETTI, D.D.S., FAMILY DENTISTRY P.C.
Practice Location Address:
27731 JEFFERSON AVE
SAINT CLAIR SHORES, MI
48081-1309
Practice Phone: 586-773-1212
Practice Fax: 586-778-5756
1326167255 — DR. KAREN M BRATUS D.D.S.
Practice Location Address:
27731 JEFFERSON AVE
SAINT CLAIR SHORES, MI
48081-1309
Practice Phone: 586-773-1212
Practice Fax: 586-778-5756
1558482430 — DR. MARTIN J FRASCHETTI D.D.S.,F.I.C.C.M.O.
Practice Location Address:
27731 JEFFERSON AVE
SAINT CLAIR SHORES, MI
48081-1309
Practice Phone: 586-773-1212
Practice Fax: 586-778-5756
1417361361 — CYNTHIA SHIELDS N.P.
Practice Location Address:
27739 JEFFERSON AVE
SAINT CLAIR SHORES, MI
48081-1309
Practice Phone: 586-315-2874
Practice Fax: 586-231-3811
1023554540 — MS. KATHLEEN MARIE VANNESTE-KORTEBEIN LPC
Practice Location Address:
27735 JEFFERSON AVE
SAINT CLAIR SHORES, MI
48081-1309
Practice Phone: 586-777-8929
Practice Fax:
1962915132 — VCCF HOME CARE LLC
Practice Location Address:
27739 JEFFERSON AVE
SAINT CLAIR SHORES, MI
48081-1309
Practice Phone: 586-777-2115
Practice Fax: 313-731-1943

Directions to “MICHIGAN PRIVATE DENTAL GROUP ” 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 © 2007-2025 (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.