| Anish Gupta Dds Pllc | |
|
30770 Lyon Center Dr. East New Hudson MI 48165 | |
| (248) 422-1555 | |
| (248) 422-0755 |
| Full Name | Anish Gupta Dds Pllc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 30770 Lyon Center Dr. East, New Hudson, Michigan |
| Authorized Official Name and Position | Anish Gupta (OWNER, ORAL AND MAXILLOFACIAL SURGE) |
| Authorized Official Contact | 2488951451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anish Gupta Dds Pllc 6736 Portsman Ct Canton MI 48187-2176 Ph: (248) 895-1451 | Anish Gupta Dds Pllc 30770 Lyon Center Dr. East New Hudson MI 48165 Ph: (248) 422-1555 |
| NPI Number | 1821685041 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821685041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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