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Shadows O.bedell Dds.p.c.
General Practice Dentistry in Detroit, Michigan
NPI 1427247758

Shadows O.bedell Dds.p.c. is a General Practice Dentistry based in Detroit, MI and is specialized in General Practice. Shadows O.bedell Dds.p.c. practices in Detroit, MI. The NPI Number for Shadows O.bedell Dds.p.c. is 1427247758 and holds a License No. 12360 (Michigan).

The current practice location address for Shadows O.bedell Dds.p.c. is 19600 Van Dyke St, Detroit, MI and can be reached out via phone at 313-892-9148 and via fax at 313-892-0204.

Location: 19600 Van Dyke St, Detroit, MI, 48234-3325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427247758
Provider Name
Shadows O.bedell Dds.p.c.
Credential
Provider Entity Type
Organization
Address
19600 Van Dyke St, Detroit, MI, 48234-3325
Phone Number
313-892-9148
Fax Number
313-892-0204
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720148018 05 MI
1801967757 05 MI
1083663702 05 MI
institution
Provider Business Practice Location Address Details
Address
19600 Van Dyke St
City
Detroit
State
Michigan
Zip
48234-3325
Phone Number
313-892-9148
Fax Number
313-892-0204
person
Provider Business Mailing Address Details
Address
19600 Van Dyke St
City
Detroit
State
Michigan
Zip
48234-3325
Phone Number
313-892-9148
Fax Number
313-892-0204
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12360 (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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