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Contact Information

MACOMB ENDODONTICS
51817 GRATIOT AVE
CHESTERFIELD, MI48051-2014
 Phone: 586-846-4890
 Fax: 586-846-2848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MACOMB ENDODONTICS · (Female)

NPI Number 1700411378
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2020
Last updated 03/04/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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