# JEWELL DENTAL OF EASTPOINTE

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

## Provider details

- **NPI number:** 1275789315
- **Authorized official:** DR. REGINALD BERNARD JEWELL DDS (PRESIDENT)
- **Authorized official phone:** (586) 778-6666

## Contact information

- **Practice address:** 20770 KELLY RD, EASTPOINTE, MI 48021-3114
- **Practice address phone:** (586) 778-6666
- **Mailing address:** 39500 W 14 MILE RD, SUITE 307, COMMERCE TOWNSHIP, MI 48390-3908
- **Mailing address phone:** (313) 535-7770
- **Mailing address fax:** (313) 535-0280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 17336 | MI | Yes |

## Other

- **Enumeration date:** 08/08/2008
- **Last updated:** 08/08/2008