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Grand River Family Dentistry P.c.
General Practice Dentistry in Detroit, Michigan
NPI 1467401141

Grand River Family Dentistry P.c. is a General Practice Dentistry based in Detroit, MI and is specialized in General Practice. Grand River Family Dentistry P.c. practices in Detroit, MI. The NPI Number for Grand River Family Dentistry P.c. is 1467401141 and holds a License No. 2901015675 (Michigan).

The current practice location address for Grand River Family Dentistry P.c. is 24366 Grand River Ave, Detroit, MI and can be reached out via phone at 313-535-2273 and via fax at 313-535-5212.

Location: 24366 Grand River Ave, Detroit, MI, 48219-3063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467401141
Provider Name
Grand River Family Dentistry P.c.
Credential
Provider Entity Type
Organization
Address
24366 Grand River Ave, Detroit, MI, 48219-3063
Phone Number
313-535-2273
Fax Number
313-535-5212
Provider Enumeration Date
05/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BA2373443 01 U.S. D.E.A.
873745 01 MI UNITED CONCORDIA
D800185 01 MI BLUE CROSS BLUE SHEILD
3197750 05 MI
institution
Provider Business Practice Location Address Details
Address
24366 Grand River Ave
City
Detroit
State
Michigan
Zip
48219-3063
Phone Number
313-535-2273
Fax Number
313-535-5212
person
Provider Business Mailing Address Details
Address
24366 Grand River Ave
City
Detroit
State
Michigan
Zip
48219-3063
Phone Number
313-535-2273
Fax Number
313-535-5212
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901015675 (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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