# HEWITT ROAD FAMILY DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Five Macs Properties LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407974710
- **Authorized official:** DR. MARK ANDREW COOKS D.D.S. (DENTIST OWNER)
- **Authorized official phone:** (734) 434-9815

## Contact information

- **Practice address:** 3060 PACKARD RD, YPSILANTI, MI 48197-1978
- **Practice address phone:** (734) 434-9815
- **Practice address fax:** (734) 434-1836
- **Mailing address:** 3060 PACKARD RD, YPSILANTI, MI 48197-1978
- **Mailing address phone:** (734) 434-9815
- **Mailing address fax:** (734) 434-1836

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 09/28/2011
