Organization · Type 2 NPI

Detroit Receiving Hospital and University Health Center

Oral and Maxillofacial Surgery (Dentist) · Detroit, MI

NPI number 1679808042 Active

Practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Mailing address

PO Box 67000 Dept 614150
Detroit, MI 48267-4150

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1679808042

Detroit Receiving Hospital and University Health Center's National Provider Identifier is 1679808042, issued on Oct 2, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Detroit, MI. The record was last updated on Oct 2, 2009.