# ACADEMY FAMILY DENTAL GROUP, P.C.

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

## Provider details

- **NPI number:** 1508957085
- **Authorized official:** DR. WENDELL SCALES (PRESIDENT)
- **Authorized official phone:** (313) 272-1530

## Contact information

- **Practice address:** 18241 GREENFIELD RD, DETROIT, MI 48235-3121
- **Practice address phone:** (313) 272-1530
- **Practice address fax:** (313) 272-7610
- **Mailing address:** 18241 GREENFIELD RD, DETROIT, MI 48235-3121

## Taxonomy

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

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 04/10/2008