NPI 1124646781

Southgate Family Dental

Organisation Dental Clinic/Center Southgate, MI

Practice location

Address: 15185 Allen Rd, Southgate, MI 48195-2921
Phone: (734) 324-2000
Fax: (734) 324-2092

Authorised official

Name: Lisa Chamberlain
Title: Office Manager
Phone: (734) 324-2000

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1124646781
Entity type: Organization
NPI issued: 10 Jul 2020
Record last updated: 13 Jul 2020

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.