# LINCOLN PARK DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1033383716
- **Authorized official:** DR. ANTHONY WAYNE STINES D.D.S. (PRESIDENT)
- **Authorized official phone:** (313) 388-0103

## Contact information

- **Practice address:** 3577 FORT ST, LINCOLN PARK, MI 48146-4114
- **Practice address phone:** (313) 388-0103
- **Practice address fax:** (313) 388-3219
- **Mailing address:** 3577 FORT ST, LINCOLN PARK, MI 48146-4114
- **Mailing address phone:** (313) 388-0103
- **Mailing address fax:** (313) 388-3219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 11350 | MI | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008