# PRIME DENTISTRY SOUTHFIELD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dixon family dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598349680
- **Authorized official:** THERESA LABRANCHE (COO)
- **Authorized official phone:** (586) 651-2155

## Contact information

- **Practice address:** 23077 GREENFIELD RD STE 210, SOUTHFIELD, MI 48075-3750
- **Practice address phone:** (248) 552-0223
- **Mailing address:** 837 FOREST AVE, BIRMINGHAM, MI 48009-6452
- **Mailing address phone:** (586) 651-2155

## Taxonomy

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

## Other

- **Enumeration date:** 05/06/2021
- **Last updated:** 05/06/2021