Active NPIOrganization

Pro Dental Mi 1 PC

Dentist, General Practice in Saginaw, Michigan

NPI Number1699502963
Practice location
1720 Lawndale RD, Saginaw, MI 48638-4396
Fax
989-401-9201
Last updated
September 19, 2024

Pro Dental Mi 1 PC is a healthcare organization based in Saginaw, MI. Pro Dental Mi 1 PC practices in Saginaw, MI. The NPI Number for Pro Dental Mi 1 PC is 1699502963. The current practice location address for Pro Dental Mi 1 PC is 1720 Lawndale RD, Saginaw, MI 48638-4396 and can be reached out via phone at 989-249-7888 and via fax at 989-401-9201.

Provider Profile Details

NPI Number
1699502963
Provider Name
Pro Dental Mi 1 PC
Provider Entity Type
Organization
Address
1720 Lawndale RD, Saginaw, MI 48638-4396
Phone Number
989-249-7888
Fax Number
989-401-9201
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Simone Wilson-Adeleke, MPA-PPA · Director Of Credentialing · 732-731-8398
Other Names
Destiny Dental Of Saginaw (Doing Business As)
Provider Enumeration Date
September 19, 2024
Last Update Date
September 19, 2024
Certification Date
September 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1720 Lawndale RD
Saginaw, MI 48638-4396
Zip
48638-4396
Phone Number
989-249-7888
Fax Number
989-401-9201
Saginaw, MI 48638Get directions →

Provider Business Mailing Address Details

Address
10 Woodbridge Center Dr Ste 520
Woodbridge, NJ 07095-1152
City
Woodbridge
State
NJ
Zip
07095-1152
Phone Number
732-731-8398

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pro Dental Mi 1 PC?

The NPI number of Pro Dental Mi 1 PC is 1699502963. It was assigned on September 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Pro Dental Mi 1 PC?

Pro Dental Mi 1 PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Pro Dental Mi 1 PC practice?

The practice location is 1720 Lawndale RD, Saginaw, MI 48638-4396. The office can be reached at 989-249-7888 (phone) or 989-401-9201 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699502963 directly on the NPPES registry website.

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