| Dental Sleep Medicine Of Michigan Plc | |
|
15873 Middlebelt Rd Suite 100 Livonia MI 48154-3896 | |
| (734) 425-4400 | |
| (734) 425-8067 |
| Full Name | Dental Sleep Medicine Of Michigan Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15873 Middlebelt Rd, Livonia, Michigan |
| Authorized Official Name and Position | James R Stewart (PRESIDENT) |
| Authorized Official Contact | 7344254400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Sleep Medicine Of Michigan Plc 15873 Middlebelt Rd Suite 100 Livonia MI 48154-3896 Ph: (734) 425-4400 | Dental Sleep Medicine Of Michigan Plc 15873 Middlebelt Rd Suite 100 Livonia MI 48154-3896 Ph: (734) 425-4400 |
| NPI Number | 1821351974 |
|---|---|
| Provider Enumeration Date | 06/22/2012 |
| Last Update Date | 02/06/2019 |
| Medicare PECOS PAC ID | 6800049289 |
|---|---|
| Medicare Enrollment ID | O20130115000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821351974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14750 (Michigan) | Primary |
| Provider Name | James Stewart |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619032729 PECOS PAC ID: 0648459834 Enrollment ID: I20130115000363 |
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