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.
Organization
SHADOWS O.BEDELL DDS.P.C.
Active
Organization
SHADOWS O.BEDELL DDS.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADOWS O BEDELL D.D.S.P.C. (DENTIST)
(313) 892-9148
Entity
Organization
Contact information
Practice address
19600 VAN DYKE ST, DETROIT, MI 48234-3325
(313) 892-9148
(313) 892-0204
Mailing address
19600 VAN DYKE ST, DETROIT, MI 48234-3325
(313) 892-9148
(313) 892-0204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12360
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083663702
—
MI
05
—
1720148018
—
MI
05
—
1801967757
—
MI
Enumeration date
10/23/2007
Last updated
11/02/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up