# HURON DENTAL ASSOCIATES, P.L.L.C

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

## Provider details

- **NPI number:** 1720172141
- **Authorized official:** DIANE AN HAMEL (OFFICE MANAGER)
- **Authorized official phone:** (313) 383-6800

## Contact information

- **Practice address:** 18757 HURON RIVER DR, NEW BOSTON, MI 48164-9357
- **Practice address phone:** (734) 753-5000
- **Mailing address:** 18757 HURON RIVER DR, NEW BOSTON, MI 48164-9357
- **Mailing address phone:** (734) 753-5000

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 09/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D8001880 | BCBS | MA |