I Dennis Potocsky DDS PC
Organization Active NPI General Practice Dentistry · Melvindale, MI
NPI 1992881635 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992881635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 09561 (MI)
- Legal business name
- I DENNIS POTOCSKY DDS PC
- Practice address
- 3113 Oakwood
Melvindale, MI 48122-1211 - Phone
- (313) 381-3850
- Fax
- (313) 389-0046
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Ivan Dennis Potocsky, DDS
- Title
- Owner
- Phone
- (313) 381-3850
Practitioners 2
-
Ahmed Hussein Amine, DMD
-
Ivan Dennis Potocsky, DDS
National Provider Directory
Locations
3113 Oakwood Blvd
Melvindale, MI 48122
Phone (313) 381-3850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 09561 | MI | Yes |
Addresses
Primary practice location
3113 Oakwood
Melvindale, MI 48122-1211
Mailing address
3113 Oakwood
Melvindale, MI 48122-1211
Phone (313) 381-3850
Other providers in Melvindale, MI
- Tina M Gomez
- Great Lakes Medical Transit LLC
- Madison Hassa
- Jessica Hayes
- Nora Amin Hussin
- Amanda Lee Iaconelli
- April Jackson
- Hassan Omar Khatib
- Christy King
- Shanique Kitchen
All providers in Melvindale, 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.