Organization · Type 2 NPI

Childrens Dental Care of Detroit

Pediatric Dentistry · Detroit, MI

NPI number 1104482439 Active

Practice location

430 Mack Ave
Detroit, MI 48201-2136

Fax (313) 262-6331

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

9 other providers at this address

Other pediatric dentistry providers in Detroit

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NPI record

NPI: 1104482439
Entity type: Organization (Type 2)
Issued: May 13, 2019
Last updated: Jan 5, 2021
Status: Active

Other names

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Children's Dental Care of Detroit · former legal business name
Children's Dental Care of Detroit · former legal business name

Authorized official

Hassan Oueis, DDS
Owner
(313) 262-6059

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104482439

Childrens Dental Care of Detroit's National Provider Identifier is 1104482439, issued on May 13, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Detroit, MI. The record was last updated on Jan 5, 2021.