Theodore Mark Healy, DDS

General Practice Dentistry · Lincoln Park, MI

Individual Active NPI

NPI number 1114022795

Practice location

1359 Champaign
Lincoln Park, MI 48146-3303
Phone
(313) 386-9660
Fax
(313) 386-5515

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NPI record

NPI
1114022795
Entity type
Individual (Type 1)
Enumeration date
September 14, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 9353 MI

Mailing address

37956 Rhonswood
Northville, MI 48167-9752
Phone
(248) 474-0937

About Dr. Healy

Theodore Mark Healy, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1359 Champaign, Lincoln Park, MI 48146-3303. The NPI number 1114022795 was assigned on September 14, 2006 and the record was last updated on July 8, 2007.

Dr. Healy lists a license in the registry: #9353 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Theodore Mark Healy, DDS?

The NPI number is 1114022795.

What is the phone number of Dr. Healy?

The phone number listed for the practice location is (313) 386-9660.

Where is Dr. Healy located?

1359 Champaign, Lincoln Park, MI 48146-3303.

What is the taxonomy code for Dr. Healy?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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