A Dental Center-Downriver
Organization Active NPI Point of Service · Riverview, MI
NPI 1528064771 · NPPES record last updated Sep 5, 2007
Key facts
- NPI
- 1528064771
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Point of Service 305S00000X
- License
- 17288 (MI)
- Legal business name
- A DENTAL CENTER-DOWNRIVER
- Practice address
- 17128 Fort St
Riverview, MI 48193-6619 - Phone
- (734) 281-3200
- Fax
- (734) 281-3890
- NPI assigned
- Jun 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Howard Potocsky, D.D.S
- Title
- Billing
- Phone
- (734) 281-3200
Practitioners 2
-
Sukhjeet Kaur Basra, D.D.S
-
Howard Paul Potocsky, D.D.S
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 17288 | MI | Yes |
Addresses
Primary practice location
17128 Fort St
Riverview, MI 48193-6619
Mailing address
17128 Fort St
Riverview, MI 48193-6619
Phone (734) 281-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D172880 | Other | MI | BLUE CROSS BLUE SHIELD |
Other providers in Riverview, MI
- A Care Dental P.C. Douglas W Cole DDS
- Achieve Counseling & Consulting Associates PLC
- Achieve Health & Performance PLLC
- Adrianne Rockin Co LLC
- Advanced Hearing Instruments
- Advanced Hearing Instruments
All providers in Riverview, MI · Point of Service in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2007. 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.