# PROSTHETIC AND IMPLANTS DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013216639
- **Authorized official:** MRS. KATHRYN SMITH (OFFICE MANAGER)
- **Authorized official phone:** (248) 399-8600

## Contact information

- **Practice address:** 1206 S WASHINGTON AVE, ROYAL OAK, MI 48067-3222
- **Practice address phone:** (248) 399-8600
- **Practice address fax:** (248) 399-8613
- **Mailing address:** 1206 S WASHINGTON AVE, ROYAL OAK, MI 48067-3222
- **Mailing address phone:** (248) 399-8600
- **Mailing address fax:** (248) 399-8613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 2901019637 | MI | Yes |

## Other

- **Enumeration date:** 03/22/2011
- **Last updated:** 03/22/2011