Organization · Type 2 NPI

Dental Specialist of Michigan PC

Orthodontics and Dentofacial Orthopedics Dentistry · Troy, MI

NPI number 1457957656 Active

Practice location

800 Kirts Blvd Ste 650
Troy, MI 48084-4878

Fax (586) 991-1933

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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NPI record

NPI: 1457957656
Entity type: Organization (Type 2)
Issued: Dec 11, 2020
Last updated: Apr 3, 2024
Status: Active

Other names

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Redwood Dental Group · doing business as
Redwood Dental Group · doing business as

Authorized official

Brittany Chapman
Credentialing Manager
(248) 842-3670

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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 1457957656

Dental Specialist of Michigan PC's National Provider Identifier is 1457957656, issued on Dec 11, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Troy, MI. The record was last updated on Apr 3, 2024.