| Edward R. Essayan Dds, Pc (professional Corporation) | |
|
6161 Orchard Lake Rd Suite 200 West Bloomfield MI 48322-2384 | |
| (248) 851-3767 | |
| (248) 865-9455 |
| Full Name | Edward R. Essayan Dds, Pc (professional Corporation) |
|---|---|
| Speciality | Dentist |
| Location | 6161 Orchard Lake Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Edward R. Essayan (DDS - ORTHODONTIST - PRESIDENT) |
| Authorized Official Contact | 2488513767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward R. Essayan Dds, Pc (professional Corporation) 6161 Orchard Lake Rd Suite 200 West Bloomfield MI 48322-2384 Ph: (248) 851-3767 | Edward R. Essayan Dds, Pc (professional Corporation) 6161 Orchard Lake Rd Suite 200 West Bloomfield MI 48322-2384 Ph: (248) 851-3767 |
| NPI Number | 1063740108 |
|---|---|
| Provider Enumeration Date | 12/01/2009 |
| Last Update Date | 12/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063740108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901009679 (Michigan) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2901009679 (Michigan) | Secondary |
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› Verified 8 days ago
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