Whalio Doctors

NPI 1073583324

Jerry J Kirk, DDS

Practitioner General Practice Dentistry Dearborn Heights, MI

Practice location

Address
25147 W Warren Ave, Dearborn Heights, MI 48127-2198
Phone
(313) 277-3000
Fax
(313) 277-3068
Mailing address
25147 W Warren Ave, Dearborn Heights, MI 48127

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 2901011909 (MI)

Registry record

NPI
1073583324
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jan 2006
Record last updated
8 Jul 2007

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.