| I Dennis Potocsky Dds Pc | |
|
3113 Oakwood Melvindale MI 48122-1211 | |
| (313) 381-3850 | |
| (313) 389-0046 |
| Full Name | I Dennis Potocsky Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3113 Oakwood, Melvindale, Michigan |
| Authorized Official Name and Position | Ivan Dennis Potocsky (OWNER) |
| Authorized Official Contact | 3133813850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Dennis Potocsky Dds Pc 3113 Oakwood Melvindale MI 48122-1211 Ph: (313) 381-3850 | I Dennis Potocsky Dds Pc 3113 Oakwood Melvindale MI 48122-1211 Ph: (313) 381-3850 |
| NPI Number | 1992881635 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992881635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 09561 (Michigan) | Primary |
Melvindale Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3113 Oakwood Blvd, Melvindale, MI 48122 Phone: 313-381-3850 |