David J Slezak DDS PC
Organization Active NPI Dentist · Davison, MI
NPI 1023105582 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023105582
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 15359 (MI)
- Legal business name
- DAVID J SLEZAK DDS PC
- Practice address
- 110 E Third St
Davison, MI 48423 - Phone
- (810) 653-2212
- Fax
- (810) 658-4330
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David J Slezak, DDS
- Title
- Owner Dentist
- Phone
- (810) 653-2212
Practitioners 2
-
David J Slezak, DDS
National Provider Directory
Locations
110 E 3rd St
Davison, MI 48423
Phone (810) 412-5437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 15359 | MI | Yes |
Addresses
Primary practice location
110 E Third St
Davison, MI 48423
Mailing address
110 E Third St
Davison, MI 48423
Phone (810) 653-2212
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2953450 | Medicaid | MI |
Other providers in Davison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.