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Earl Bogrow Dds Pc
Prosthetic/Orthotic Supplier in Southfield, Michigan
NPI 1225347081

Earl Bogrow Dds Pc is a Prosthetic/Orthotic Supplier based in Southfield, MI. Earl Bogrow Dds Pc practices in Southfield, MI. The NPI Number for Earl Bogrow Dds Pc is 1225347081 and holds a License No. L1376041 (Michigan).

The current practice location address for Earl Bogrow Dds Pc is 28411 Northwestern Hwy Ste 230, Southfield, MI and can be reached out via phone at 248-827-1900 and via fax at 248-827-0949.

Location: 28411 Northwestern Hwy Ste 230, Southfield, MI, 48034-5508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225347081
Provider Name
Earl Bogrow Dds Pc
Credential
Provider Entity Type
Organization
Address
28411 Northwestern Hwy Ste 230, Southfield, MI, 48034-5508
Phone Number
248-827-1900
Fax Number
248-827-0949
Provider Enumeration Date
09/28/2010
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
28411 Northwestern Hwy Ste 230
City
Southfield
State
Michigan
Zip
48034-5548
Phone Number
248-827-1900
Fax Number
248-827-0949
person
Provider Business Mailing Address Details
Address
28411 Northwestern Hwy Ste 230
City
Southfield
State
Michigan
Zip
48034-5548
Phone Number
248-827-1900
Fax Number
248-827-0949
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
L1376041 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
L1376041 (Michigan)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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