# TROND U. HEGLE DDS PC

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

## Provider details

- **NPI number:** 1417238643
- **Authorized official:** TROND U HEGLE DDS (OWNER)
- **Authorized official phone:** (313) 863-2800

## Contact information

- **Practice address:** 15510 LIVERNOIS AVE, DETROIT, MI 48238-1343
- **Practice address phone:** (313) 863-2800
- **Practice address fax:** (313) 863-5054
- **Mailing address:** 15510 LIVERNOIS AVE, DETROIT, MI 48238-1343
- **Mailing address phone:** (313) 863-2800
- **Mailing address fax:** (313) 863-5054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901020365 | MI | Yes |

## Other

- **Enumeration date:** 09/01/2011
- **Last updated:** 09/01/2011