| American Dental Group-georgia Llc | |
|
300 E Long Lake Rd Ste 311 Bloomfield Hills MI 48304-2374 | |
| (248) 203-1100 | |
| Not Available |
| Full Name | American Dental Group-georgia Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 E Long Lake Rd, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Donna Marie Rivard (CREDENTIALING) |
| Authorized Official Contact | 2482031119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Dental Group-georgia Llc 300 E Long Lake Rd Ste 311 Bloomfield Hills MI 48304-2374 Ph: (248) 203-1100 | American Dental Group-georgia Llc 300 E Long Lake Rd Ste 311 Bloomfield Hills MI 48304-2374 Ph: (248) 203-1100 |
| NPI Number | 1437297959 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437297959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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› Verified 2 days ago
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