Highland Advanced Dental Care Pllc | |
2950 E Highland Rd Highland MI 48356-2810 | |
(248) 887-8371 | |
(248) 889-1550 |
Full Name | Highland Advanced Dental Care Pllc |
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Speciality | Dentist |
Location | 2950 E Highland Rd, Highland, Michigan |
Authorized Official Name and Position | James Edward Locascio (OWNER) |
Authorized Official Contact | 2488878371 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Highland Advanced Dental Care Pllc 2950 E Highland Rd Highland MI 48356-2810 Ph: (248) 887-8371 | Highland Advanced Dental Care Pllc 2950 E Highland Rd Highland MI 48356-2810 Ph: (248) 887-8371 |
NPI Number | 1043046790 |
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Provider Enumeration Date | 09/10/2024 |
Last Update Date | 09/23/2024 |
Medicare PECOS PAC ID | 6406382845 |
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Medicare Enrollment ID | O20241210000464 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043046790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Provider Name | James E Locascio |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1982816682 PECOS PAC ID: 4082927967 Enrollment ID: I20241216000742 |
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