Southfield Dental Pllc - Dental Clinic in Southfield, MI

Southfield Dental Pllc is a dental clinic (Dentist) in Southfield, Michigan. The current practice location for Southfield Dental Pllc is 17600 W 12 Mile Rd, Suite 3, Southfield, Michigan. For appointments, you can reach them via phone at (248) 569-6722. The mailing address for Southfield Dental Pllc is 17600 W 12 Mile Rd, Suite 3, Southfield, Michigan and phone number is (248) 569-6722.

Southfield Dental Pllc is licensed to practice in Michigan (license number 2901014077) and its NPI number is 1104067644. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (248) 569-6722.

Contact Information

Southfield Dental Pllc
17600 W 12 Mile Rd
Suite 3
Southfield
MI 48076-1910
(248) 569-6722
(248) 569-7409

Map and Direction


Dental Care Clinic Profile

Full NameSouthfield Dental Pllc
SpecialityDentist
Location17600 W 12 Mile Rd, Southfield, Michigan
Authorized Official Name and PositionRaymond A Fortson (MEMBER)
Authorized Official Contact2485696722
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southfield Dental Pllc
17600 W 12 Mile Rd
Suite 3
Southfield
MI 48076-1910

Ph: (248) 569-6722
Southfield Dental Pllc
17600 W 12 Mile Rd
Suite 3
Southfield
MI 48076-1910

Ph: (248) 569-6722

NPI Details:

NPI Number1104067644
Provider Enumeration Date03/12/2009
Last Update Date03/12/2009

Medical Identifiers

Medical identifiers for Southfield Dental Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104067644NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 2901014077 (Michigan)Primary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.