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

SQUARE LAKE FAMILY DENTISTRY

Active Organization

SQUARE LAKE FAMILY DENTISTRY is a General Dentistry organization located in TROY, Michigan. NPI 1558442202 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · TROY, MI

Registration Details

NPI Number
1558442202
Provider Type
Organization
NPI Issued
Oct 18, 2006 (19.828912114946 yrs)
Last Updated
Jan 31, 2008
Licenses
2901015929 (MI)
2901015961 (MI)

Practice Information

Address
6053 ROCHESTER RD
TROY, MI, 480851303
Browse MI providers · Browse ZIP 48085
Phone
2488795858
Fax
2488793578
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Organizations in TROY, MI

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.