# KENNEDY DENTAL CENTER OF MICHIGAN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kennedy Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619026085
- **Authorized official:** DR. MIRZA M BAIG D.D.S. (OWNER)
- **Authorized official phone:** (248) 755-5700

## Contact information

- **Practice address:** 1193 SOUTHFIELD RD, LINCOLN PARK, MI 48146-2450
- **Practice address phone:** (313) 388-1800
- **Practice address fax:** (313) 388-5527
- **Mailing address:** 23800 ORCHARD LAKE RD, STE. 106, FARMINGTON HILLS, MI 48336-2560
- **Mailing address phone:** (248) 755-5700
- **Mailing address fax:** (248) 471-7383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901017849 | MI | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 08/22/2020