| Summit Family Dental, P.l.l.c. | |
|
8136 21 Mile Rd. Shelby Twp. MI 48317 | |
| (586) 726-0606 | |
| (586) 726-1523 |
| Full Name | Summit Family Dental, P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8136 21 Mile Rd., Shelby Twp., Michigan |
| Authorized Official Name and Position | Krista Lynn Wortman (DENTIST) |
| Authorized Official Contact | 5867260606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Dental, P.l.l.c. 8136 21 Mile Rd. Shelby Twp. MI 48317 Ph: (586) 726-0606 | Summit Family Dental, P.l.l.c. 8136 21 Mile Rd. Shelby Twp. MI 48317 Ph: (586) 726-0606 |
| NPI Number | 1356435705 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356435705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |