# EDWARD R. ESSAYAN DDS, PC (PROFESSIONAL CORPORATION)

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1063740108
- **Authorized official:** DR. EDWARD R. ESSAYAN DDS - ORTHODONTIST (DDS - ORTHODONTIST - PRESIDENT)
- **Authorized official phone:** (248) 851-3767

## Contact information

- **Practice address:** 6161 ORCHARD LAKE RD, SUITE 200, WEST BLOOMFIELD, MI 48322-2384
- **Practice address phone:** (248) 851-3767
- **Practice address fax:** (248) 865-9455
- **Mailing address:** 6161 ORCHARD LAKE RD, SUITE 200, WEST BLOOMFIELD, MI 48322-2384
- **Mailing address phone:** (248) 851-3767
- **Mailing address fax:** (248) 865-9455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901009679 | MI | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 2901009679 | MI | — |

## Other

- **Enumeration date:** 12/01/2009
- **Last updated:** 12/01/2009