Organization · Type 2 NPI
Prime Dentistry Novi PLLC
Dental Clinic/Center · Dearborn, MI
NPI number
1124706775
Active
Practice location
24505 Fairmount Dr
Dearborn, MI 48124-1541
Mailing address
35100 E Michigan Ave
Wayne, MI 48184-3698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1124706775
Prime Dentistry Novi PLLC's National Provider Identifier is 1124706775, issued on Jul 5, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Dearborn, MI. The record was last updated on Jul 5, 2023.