# MACOMB-SHELBY DENTAL

> 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
- **Other names:** Macomb-Shelby Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093158669
- **Authorized official:** MS. NANCY YEZAK (OFFICE MANAGER)
- **Authorized official phone:** (586) 677-7944

## Contact information

- **Practice address:** 51210 ROMEO PLANK RD, MACOMB, MI 48042-4129
- **Practice address phone:** (586) 677-7944
- **Mailing address:** 51210 ROMEO PLANK RD, MACOMB, MI 48042-4129

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2013
- **Last updated:** 04/12/2013