| Contemporary Dentistry Center Dearborn Pllc | |
|
5211 Schaefer Rd Dearborn MI 48126-3229 | |
| (313) 581-4884 | |
| Not Available |
| Full Name | Contemporary Dentistry Center Dearborn Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5211 Schaefer Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Contemporary Dentistry Center Dearborn Pllc 5211 Schaefer Rd Dearborn MI 48126-3229 Ph: () - | Contemporary Dentistry Center Dearborn Pllc 5211 Schaefer Rd Dearborn MI 48126-3229 Ph: (313) 581-4884 |
| NPI Number | 1447969928 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 07/30/2024 |
| Medicare PECOS PAC ID | 5890235733 |
|---|---|
| Medicare Enrollment ID | O20240906001647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447969928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Nader Bazzi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619934197 PECOS PAC ID: 3779562087 Enrollment ID: I20190307000306 |
| Provider Name | Rima A Bazzi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356308258 PECOS PAC ID: 6406835719 Enrollment ID: I20220128001315 |
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