Wilbert Purifoy Owner is a dental clinic (Dentist - Orthodontics And Dentofacial Orthopedics) in Hamtrack, Michigan. The current practice location for Wilbert Purifoy Owner is 9541 Jos Campall, Hamtramck Dental Center, Hamtrack, Michigan. For appointments, you can reach them via phone at
(313) 972-4700. The mailing address for Wilbert Purifoy Owner is 9541 Jos Campall, Hamtrack, Michigan and phone number is (313) 972-4700.
Wilbert Purifoy Owner is licensed to practice in Michigan (license number 17410) and its
NPI number is 1508974387. 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
(313) 972-4700.
Dental Care Clinic Profile
| Full Name | Wilbert Purifoy Owner |
|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
|---|
| Location | 9541 Jos Campall, Hamtrack, Michigan |
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| Authorized Official Name and Position | Wilbert Purifoy (PRESIDENT OWNER) |
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| Authorized Official Contact | 3139724700 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wilbert Purifoy Owner
9541 Jos Campall
Hamtrack
MI 48212
Ph: (313) 972-4700 | Wilbert Purifoy Owner
9541 Jos Campall
Hamtramck Dental Center
Hamtrack
MI 48212
Ph: (313) 972-4700 |
NPI Details:
| NPI Number | 1508974387 |
|---|
| Provider Enumeration Date | 08/29/2006 |
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| Last Update Date | 08/22/2020 |
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Medical Identifiers
Medical identifiers for Wilbert Purifoy Owner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508974387 | NPI | - | NPPES |
| 77875 | Other | | AHMED ALLAN |
| 10915 | Other | | PURIFOY |
| 17470 | Other | | FRANK HARRIS |
| 13106 | Other | | PAUL ONEILL |
| 2744290 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 10915 (Michigan) | Primary |
| 122300000X | Dentist | 13106 (New York) | Primary |
| 122300000X | Dentist | 17875 (Michigan) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 17410 (Michigan) | Primary |
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