| Regency Family Dental | |
|
54826 Dequindre Rd Shelby Township MI 48316-5625 | |
| (248) 601-6320 | |
| (248) 601-4416 |
| Full Name | Regency Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 54826 Dequindre Rd, Shelby Township, Michigan |
| Authorized Official Name and Position | Maria Christi Kayser (DENTAL HYGIENIST/OFFICE MANAGER) |
| Authorized Official Contact | 2486016320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regency Family Dental 54826 Dequindre Rd Shelby Township MI 48316-5625 Ph: (248) 601-6320 | Regency Family Dental 54826 Dequindre Rd Shelby Township MI 48316-5625 Ph: (248) 601-6320 |
| NPI Number | 1083343586 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 06/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083343586 | NPI | - | NPPES |
| 2901015191 | Other | MI | STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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