Huron Dental Associates, P.L.L.C

Organization Active NPI General Practice Dentistry · New Boston, MI

NPI 1720172141 · NPPES record last updated Sep 22, 2016

Key facts

NPI
1720172141
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
HURON DENTAL ASSOCIATES, P.L.L.C
Practice address
18757 Huron River Dr
New Boston, MI 48164-9357
Phone
(734) 753-5000
NPI assigned
Oct 2, 2006
Organization subpart
No

Authorized official

Name
Diane An Hamel
Title
Office Manager
Phone
(313) 383-6800

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

18757 Huron River Dr
New Boston, MI 48164
Phone (734) 753-5000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

18757 Huron River Dr
New Boston, MI 48164-9357

Mailing address

18757 Huron River Dr
New Boston, MI 48164-9357
Phone (734) 753-5000

Other identifiers

IdentifierTypeStateIssuer
D8001880OtherMABCBS

Other providers in New Boston, MI

All providers in New Boston, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.