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Cody Dental Center P.c.
General Practice Dentistry in Southfield, Michigan
NPI 1255482659

Cody Dental Center P.c. is a General Practice Dentistry based in Southfield, MI and is specialized in General Practice. Cody Dental Center P.c. practices in Southfield, MI. The NPI Number for Cody Dental Center P.c. is 1255482659 and holds a License No. 13102 (Michigan).

The current practice location address for Cody Dental Center P.c. is 17070 W 12 Mile Rd, Southfield, MI and can be reached out via phone at 248-395-4700. You can also correspond with Cody Dental Center P.c. through the mailing address at 17070 W 12 MILE RD, SOUTHFIELD, MI - 48076-2116 (mailing address contact number: 248-395-4700).

Location: 17070 W 12 Mile Rd, Southfield, MI, 48076-2116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255482659
Provider Name
Cody Dental Center P.c.
Credential
Provider Entity Type
Organization
Address
17070 W 12 Mile Rd, Southfield, MI, 48076-2116
Phone Number
248-395-4700
Fax Number
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J131020 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
17070 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48076-2116
Phone Number
248-395-4700
Fax Number
person
Provider Business Mailing Address Details
Address
17070 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48076-2116
Phone Number
248-395-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
13102 (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.
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