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Contact Information

FORT DENTAL CENTER
3515 FORT ST
LINCOLN PARK, MI48146-4101
 Phone: 313-386-9404
 Fax: 313-386-9405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for FORT DENTAL CENTER · (Female)

NPI Number 1073790838
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2008
Last updated 01/23/2008 - About 18 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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