| Morning Star Dental | |
|
8292 E 12 Mile Rd Warren MI 48093-2737 | |
| (586) 393-1516 | |
| (586) 393-1518 |
| Full Name | Morning Star Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8292 E 12 Mile Rd, Warren, Michigan |
| Authorized Official Name and Position | Marcus L Paulus (PRESIDENT) |
| Authorized Official Contact | 5863931516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morning Star Dental Po Box 3756 Southfield MI 48037-3756 Ph: (586) 393-1516 | Morning Star Dental 8292 E 12 Mile Rd Warren MI 48093-2737 Ph: (586) 393-1516 |
| NPI Number | 1760153563 |
|---|---|
| Provider Enumeration Date | 09/22/2021 |
| Last Update Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760153563 | NPI | - | NPPES |
| 5387647 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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