Prime Dentistry Novi Pllc

NPI #1124706775 in Dearborn, Michigan

Provider Information

NPI Number: 1124706775
Entity Type: Organization
Organization Name: Prime Dentistry Novi Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 5, 2023
Last Updated: Jul 5, 2023

Practice Location

Address: 24505 FAIRMOUNT DR
City: Dearborn
State: Michigan
ZIP Code: 48124-1541
Phone: (734) 722-1617

Authorized Official

Name: JESSICA TOMES
Title: OPERATIONS DIRECTOR
Phone: (734) 722-1617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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