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Contact Information

PLYMOUTH ENDODONTICS
9416 S MAIN ST STE 212
PLYMOUTH, MI48170-4148
 Phone: 734-459-8844
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for PLYMOUTH ENDODONTICS · (Female)

NPI # 1285252874
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2020
Last updated 07/09/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Medicaid 1356469787
  • MI Medicaid 160911863
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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