NPI 1083884092

Livonia Dental Care

Organisation Exclusive Provider Organization Livonia, MI

Practice location

Address: 33428 Five Mile Rd, Livonia, MI 48154-2860
Phone: (734) 427-7555
Fax: (734) 427-1233

Authorised official

Name: Sanford Jay Nitzkin
Title: DDS
Phone: (734) 427-7555

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 14658 (MI)

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Registry record

NPI: 1083884092
Entity type: Organization
NPI issued: 5 Mar 2008
Record last updated: 5 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.