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Fred Shorter, DDS
General Practice Dentistry in Detroit, Michigan
NPI 1669477154

Fred Shorter is a General Practice Dentistry based in Detroit, MI and is specialized in General Practice. Fred Shorter practices in Detroit, MI and has the professional credentials of DDS. The NPI Number for Fred Shorter is 1669477154 and holds a License No. 2901010185 (Michigan).

The current practice location address for Fred Shorter is 20100 W Mcnichols Rd, Detroit, MI and can be reached out via phone at 313-255-2150 and via fax at 313-255-6152. You can also correspond with Fred Shorter through the mailing address at 20100 W MCNICHOLS RD, DETROIT, MI - 48219-3374 (mailing address contact number: 313-255-2150).

Location: 20100 W Mcnichols Rd, Detroit, MI, 48219-3374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669477154
Provider Name
Fred Shorter
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
20100 W Mcnichols Rd, Detroit, MI, 48219-3374
Phone Number
313-255-2150
Fax Number
313-255-6152
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4199929 05 MI
institution
Provider Business Practice Location Address Details
Address
20100 W Mcnichols Rd
City
Detroit
State
Michigan
Zip
48219-3374
Phone Number
313-255-2150
Fax Number
313-255-6152
person
Provider Business Mailing Address Details
Address
20100 W Mcnichols Rd
City
Detroit
State
Michigan
Zip
48219-3374
Phone Number
313-255-2150
Fax Number
313-255-6152
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901010185 (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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