Gratiot Dental Pc - Dental Clinic in Detroit, MI

Gratiot Dental Pc is a dental clinic (Dentist) in Detroit, Michigan. The current practice location for Gratiot Dental Pc is 12645 Gratiot Ave, Detroit, Michigan. For appointments, you can reach them via phone at (313) 527-1140. The mailing address for Gratiot Dental Pc is 12645 Gratiot Ave, Detroit, Michigan and phone number is (313) 527-1140.

Gratiot Dental Pc is licensed to practice in Michigan (license number 12881) and its NPI number is 1073702478. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (313) 527-1140.

Contact Information

Gratiot Dental Pc
12645 Gratiot Ave
Detroit
MI 48205-3952
(313) 527-1140
(313) 527-9022

Dental Care Clinic Profile

Full NameGratiot Dental Pc
SpecialityDentist
Location12645 Gratiot Ave, Detroit, Michigan
Authorized Official Name and PositionWallace Lee Walker (PRESIDENT)
Authorized Official Contact3135271140
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gratiot Dental Pc
12645 Gratiot Ave
Detroit
MI 48205-3952

Ph: (313) 527-1140
Gratiot Dental Pc
12645 Gratiot Ave
Detroit
MI 48205-3952

Ph: (313) 527-1140

NPI Details:

NPI Number1073702478
Provider Enumeration Date10/22/2007
Last Update Date10/22/2007

Medical Identifiers

Medical identifiers for Gratiot Dental Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073702478NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 12881 (Michigan)Primary

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