Ivan Dennis Potocsky, DDS

General Practice Dentistry · Melvindale, MI

Individual Active NPI

NPI number 1144401811

Practice location

3113 Oakwood
Melvindale, MI 48122-1211
Phone
(313) 381-3850
Fax
(313) 389-0046

Open in Google Maps

NPI record

NPI
1144401811
Entity type
Individual (Type 1)
Enumeration date
November 21, 2007
Last updated
November 21, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 09561 MI

About Dr. Potocsky

Ivan Dennis Potocsky, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3113 Oakwood, Melvindale, MI 48122-1211. The NPI number 1144401811 was assigned on November 21, 2007 and the record was last updated on November 21, 2007.

Dr. Potocsky lists a license in the registry: #09561 (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 Ivan Dennis Potocsky, DDS?

The NPI number is 1144401811.

What is the phone number of Dr. Potocsky?

The phone number listed for the practice location is (313) 381-3850.

Where is Dr. Potocsky located?

3113 Oakwood, Melvindale, MI 48122-1211.

What is the taxonomy code for Dr. Potocsky?

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.

Other General Practice Dentistry providers in Melvindale

All General Practice Dentistry providers in Melvindale, MI →