| Deluxe Dental Associates 6 Southfield Pllc | |
|
19931 W 12 Mile Rd Ste L28 Southfield MI 48076-2591 | |
| (810) 820-7766 | |
| (810) 243-0454 |
| Full Name | Deluxe Dental Associates 6 Southfield Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19931 W 12 Mile Rd Ste L28, Southfield, Michigan |
| Authorized Official Name and Position | Amber Kizy (OWNER) |
| Authorized Official Contact | 8108207766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deluxe Dental Associates 6 Southfield Pllc 19931 W 12 Mile Rd Ste L28 Southfield MI 48076-2591 Ph: (810) 820-7766 | Deluxe Dental Associates 6 Southfield Pllc 19931 W 12 Mile Rd Ste L28 Southfield MI 48076-2591 Ph: (810) 820-7766 |
| NPI Number | 1265190540 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 01/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265190540 | NPI | - | NPPES |
| 1376941773 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Northeast Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21500 Northwestern Hwy, Suite 640, Southfield, MI 48075 Phone: 248-552-0166 | |
Gagoh Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24450 Evergreen Rd, Suite 101, Southfield, MI 48075 Phone: 248-350-3366 Fax: 248-350-0457 | |
Stephen E. Gork, Dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26771 W 12 Mile Rd, G-115, Southfield, MI 48034 Phone: 248-353-7440 Fax: 248-353-3148 | |
Uppleger Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30855 Southfield Rd, Southfield, MI 48076 Phone: 248-792-2400 | |
Southfield Kids Dentist Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18900 W 10 Mile Rd, Southfield, MI 48075 Phone: 248-565-3332 | |
Southfield Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 12 Mile Rd, Suite 3, Southfield, MI 48076 Phone: 248-569-6722 Fax: 248-569-7409 | |
Michigan 3-d Dental Imaging Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29829 Telegraph Rd, Ste 111, Southfield, MI 48034 Phone: 248-357-3100 Fax: 248-357-1626 |