# BIRMINGHAM DENTAL

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

## Provider details

- **NPI number:** 1013614882
- **Authorized official:** JULEY BUDNY (OFFICE COORDINATOR)
- **Authorized official phone:** (248) 645-2710

## Contact information

- **Practice address:** 2151 E 14 MILE RD, BIRMINGHAM, MI 48009-7260
- **Practice address phone:** (248) 645-2710
- **Practice address fax:** (248) 645-5283
- **Mailing address:** 2151 E 14 MILE RD, BIRMINGHAM, MI 48009-7260
- **Mailing address phone:** (248) 645-2710
- **Mailing address fax:** (248) 645-5283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2023
- **Last updated:** 02/13/2023