Detalmax PC

General Practice Dentistry · Comstock Park, MI

Organization Active NPI

NPI number 1194084780

Practice location

6655 Alpine Ave NW
Suite 1
Comstock Park, MI 49321-8000
Phone
(616) 784-8950
Fax
(616) 784-9553

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NPI record

NPI
1194084780
Entity type
Organization (Type 2)
Enumeration date
May 16, 2012
Last updated
May 16, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901011820 MI

Authorized official

Name
Gregory P Houghteling, D.D.S.
Title
CEO
Phone
(616) 784-8950

About Detalmax PC

Detalmax PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6655 Alpine Ave NW, Suite 1, Comstock Park, MI 49321-8000. The NPI number 1194084780 was assigned on May 16, 2012 and the record was last updated on May 16, 2012.

Detalmax PC lists a license in the registry: #2901011820 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Gregory P Houghteling, D.D.S., CEO.

Frequently asked questions

What is the NPI number of Detalmax PC?

The NPI number is 1194084780.

What is the phone number of Detalmax PC?

The phone number listed for the practice location is (616) 784-8950.

Where is Detalmax PC located?

6655 Alpine Ave NW, Suite 1, Comstock Park, MI 49321-8000.

What is the taxonomy code for Detalmax PC?

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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