# LINCOLN PARK FAMILY DENTISTRY DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1649371121
- **Authorized official:** STEWART S MARKOFSKY DDS (PRESIDENT)
- **Authorized official phone:** (313) 381-0343

## Contact information

- **Practice address:** 3326 FORT ST, LINCOLN PARK, MI 48146
- **Practice address phone:** (313) 381-0343
- **Practice address fax:** (313) 386-0331
- **Mailing address:** 3326 FORT STREET, LINCOLN PARK, MI 48146
- **Mailing address phone:** (313) 381-0343
- **Mailing address fax:** (313) 386-0331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12122 | MI | — |
| 122300000X | Dentist | 12305 | MI | Yes |
| 122300000X | Dentist | 12551 | MI | — |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 08/22/2020