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A Dental Center-downriver
Point of Service in Riverview, Michigan
NPI 1528064771

A Dental Center-downriver is a Point of Service based in Riverview, MI. A Dental Center-downriver practices in Riverview, MI. The NPI Number for A Dental Center-downriver is 1528064771 and holds a License No. 17288 (Michigan).

The current practice location address for A Dental Center-downriver is 17128 Fort St, Riverview, MI and can be reached out via phone at 734-281-3200 and via fax at 734-281-3890.

Location: 17128 Fort St, Riverview, MI, 48193-6619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528064771
Provider Name
A Dental Center-downriver
Credential
Provider Entity Type
Organization
Address
17128 Fort St, Riverview, MI, 48193-6619
Phone Number
734-281-3200
Fax Number
734-281-3890
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D172880 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
17128 Fort St
City
Riverview
State
Michigan
Zip
48193-6619
Phone Number
734-281-3200
Fax Number
734-281-3890
person
Provider Business Mailing Address Details
Address
17128 Fort St
City
Riverview
State
Michigan
Zip
48193-6619
Phone Number
734-281-3200
Fax Number
734-281-3890
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
17288 (Michigan)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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