Edward Street Dental
Edward Street Dental provides General Practice Dentistry in Madison Heights, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
707 E 12 Mile RdMadison Heights, MI 48071-2533
Phone: (248) 548-6110
Fax: (248) 548-2718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 17110 (MI) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 13530 (MI) |
Record details
| NPI number | 1700864527 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Homer — Owner · (248) 548-6110 |
| NPI enumerated | January 3, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 707 E 12 Mile Rd, Madison Heights, MI 48071-2533 |
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