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Contact Information

GARFIELD ROAD DENTAL- 2
15401 DIX TOLEDO RD
SOUTHGATE, MI48195-2662
 Phone: 770-916-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Pediatric Dentistry

1223P0221X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for GARFIELD ROAD DENTAL 2 · (Female)

NPI Number 1861950701
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2019
Last updated 03/11/2019 - About 7 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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