Square Lake Family Dentistry
Square Lake Family Dentistry provides General Practice Dentistry in Troy, 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
6053 Rochester RdTroy, MI 48085-1303 Not confirmed with CMS for 18 years — call before visiting
Phone: (248) 879-5858
Fax: (248) 879-3578
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 2901015961 (MI) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 2901015929 (MI) |
Record details
| NPI number | 1558442202 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pritida Patel — Secretary · (248) 879-5858 |
| NPI enumerated | October 18, 2006 |
| Last updated in NPPES | January 31, 2008 |
| Mailing address | 6053 Rochester Rd, Troy, MI 48085-1303 |
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