# MICHIGAN DENTAL STUDIO ROCHESTER

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

## Provider details

- **NPI number:** 1194688952
- **Authorized official:** JENNIFER BARNES (OFFICE MANAGER)
- **Authorized official phone:** (517) 546-8983

## Contact information

- **Practice address:** 1202 WALTON BLVD STE 202, ROCHESTER HILLS, MI 48307-6918
- **Practice address phone:** (248) 651-8600
- **Mailing address:** 1202 WALTON BLVD STE 202, ROCHESTER HILLS, MI 48307-6918

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2025
- **Last updated:** 12/08/2025