Morton Maza, DDS
Individual provider Active NPI General Practice Dentistry · Dearborn HTS, MI
NPI 1265608145 · NPPES record last updated May 1, 2008
Key facts
- NPI
- 1265608145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901007316 (MI)
- Practice address
- 27235 Joy Rd
Dearborn HTS, MI 48127 - Phone
- (313) 274-3590
- NPI assigned
- May 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901007316 | MI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901007316 | MI | Yes |
Addresses
Primary practice location
27235 Joy Rd
Dearborn HTS, MI 48127
Mailing address
27235 Joy Rd
Dearborn HTS, MI 48127
Phone (313) 274-3590
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- Bryan Lee Lovy
- Michigan Home Care Doctors PLLC
- Outsidethebox Detroit Therapy
- Hafsah Parker
- Pioneer Medical and Urgent Care PLLC
- Lawrence Harold Pollak
All providers in Dearborn HTS, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2008. 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.