# DEXTER DENTAL STUDIO PLLC

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

## Provider details

- **NPI number:** 1508131160
- **Authorized official:** DR. ANNELIES S CORNISH DDS (OWNER)
- **Authorized official phone:** (734) 426-8360

## Contact information

- **Practice address:** 7300 DEXTER ANN ARBOR RD STE 300, DEXTER, MI 48130-8598
- **Practice address phone:** (734) 426-8360
- **Practice address fax:** (734) 426-8374
- **Mailing address:** 7300 DEXTER ANN ARBOR RD STE 300, DEXTER, MI 48130-8598
- **Mailing address phone:** (734) 426-8360
- **Mailing address fax:** (734) 426-8374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | MI | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 03/15/2012
- **Last updated:** 02/18/2025