# MALTA DENTAL AND MEDICAL CLINIC

> 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:** 1740902980
- **Authorized official:** NANCY HARMON RDH (DIRECTOR)
- **Authorized official phone:** (313) 894-2240

## Contact information

- **Practice address:** 8642 WOODWARD AVE, DETROIT, MI 48202-2142
- **Practice address phone:** (313) 894-2240
- **Mailing address:** 8642 WOODWARD AVE, DETROIT, MI 48202-2142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/14/2022
- **Last updated:** 09/20/2022