| Kennedy Dental Center | |
|
1193 Southfield Rd Lincoln Park MI 48146-2450 | |
| (313) 388-1800 | |
| (313) 388-5527 |
| Full Name | Kennedy Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1193 Southfield Rd, Lincoln Park, Michigan |
| Authorized Official Name and Position | Mirza M Baig (OWNER) |
| Authorized Official Contact | 2487555700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Dental Center 23800 Orchard Lake Rd Ste. 106 Farmington Hills MI 48336-2560 Ph: (248) 755-5700 | Kennedy Dental Center 1193 Southfield Rd Lincoln Park MI 48146-2450 Ph: (313) 388-1800 |
| NPI Number | 1619026085 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619026085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901017849 (Michigan) | Primary |
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