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Detroit Receiving Hospital & University Health Center
Oral and Maxillofacial Surgery Clinic/Center in Detroit, Michigan
NPI 1497939607

Detroit Receiving Hospital & University Health Center is a Oral and Maxillofacial Surgery Clinic/Center based in Detroit, MI and is specialized in Oral and Maxillofacial Surgery. Detroit Receiving Hospital & University Health Center practices in Detroit, MI. The NPI Number for Detroit Receiving Hospital & University Health Center is 1497939607 and holds a License No. 261QS0112X (Michigan).

The current practice location address for Detroit Receiving Hospital & University Health Center is 4201 Saint Antoine St, Detroit, MI and can be reached out via phone at 313-578-2164 and via fax at 313-578-3964.

Location: 4201 Saint Antoine St, Detroit, MI, 48201-2153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497939607
Provider Name
Detroit Receiving Hospital & University Health Center
Credential
Provider Entity Type
Organization
Address
4201 Saint Antoine St, Detroit, MI, 48201-2153
Phone Number
313-578-2164
Fax Number
313-578-3964
Provider Enumeration Date
12/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0H27931 01 MI BCBSM PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
4201 Saint Antoine St
City
Detroit
State
Michigan
Zip
48201-2153
Phone Number
313-578-2164
Fax Number
313-578-3964
person
Provider Business Mailing Address Details
Address
4201 Saint Antoine St
City
Detroit
State
Michigan
Zip
48201-2153
Phone Number
313-578-2164
Fax Number
313-578-3964
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
261QS0112X (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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