DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENT DENTISTRY

Active Organization

PROVIDENT DENTISTRY is a Dentist organization located in NOVI, Michigan. NPI 1407887656 is currently active in the NPPES registry. Verify at CMS.

Dentist · NOVI, MI

Registration Details

NPI Number
1407887656
Provider Type
Organization
NPI Issued
Jul 5, 2006 (20.121092653487 yrs)
Last Updated
Jul 23, 2008

Practice Information

Address
40105 GRAND RIVER AVE
SUITE 1
NOVI, MI, 483752170
Browse MI providers · Browse ZIP 48375
Phone
2484710345
Fax
2484710671
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.