Milan Dental Associates, D.D.S., P.C.
Organization Active NPI General Practice Dentistry · Milan, MI
NPI 1902809726 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1902809726
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 10131 (MI)
- Legal business name
- MILAN DENTAL ASSOCIATES, D.D.S., P.C.
- Practice address
- 519 W Main St
Milan, MI 48160-9559 - Phone
- (734) 439-1543
- Fax
- (734) 439-0553
- NPI assigned
- May 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Stephen R. Gregg
- Title
- Owner
- Phone
- (734) 439-1543
Practitioners 4
National Provider Directory
Locations
519 W Main St
Milan, MI 48160
Phone (734) 439-1543
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 10131 | MI | Yes |
Addresses
Primary practice location
519 W Main St
Milan, MI 48160-9559
Mailing address
519 W Main St
Milan, MI 48160-9559
Phone (734) 439-1543
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4050468 | Medicaid | MI | |
| 110788 | Other | MI | PRUDENTIAL DMO ID |
| 4135430 | Medicaid | MI | |
| 2602947 | Medicaid | MI |
Other providers in Milan, MI
- Brian S Mayday
- Leeann Mayer
- Meridian Dentistry
- Milan Behavioral and Pain Solutions
- Milan Christian Counseling
- Milan Physical Therapy LLC
- Milan Urgent Care Clinic PLLC
- Aaron Timothy Miller
- Connor Patrick Millina
- Todd Morningstar
All providers in Milan, 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 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.