# DENTAL INC

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

## Provider details

- **NPI number:** 1619044237
- **Authorized official:** DR. DARYL L DUNCAN DDS (OWNER)
- **Authorized official phone:** (313) 541-3004

## Contact information

- **Practice address:** 25225 W 7 MILE RD, SUITE 200, REDFORD, MI 48240
- **Practice address phone:** (313) 541-3004
- **Practice address fax:** (313) 541-3038
- **Mailing address:** 25225 W 7 MILE RD, SUITE 200, REDFORD, MI 48240
- **Mailing address phone:** (313) 541-3004
- **Mailing address fax:** (313) 541-3038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901010959 | MI | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4210113 | — | MI |
| 01 | — | D800297 | BCBS OF MI | MI |