# DENTAL SLEEP MEDICINE OF MICHIGAN PLC

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

## Provider details

- **NPI number:** 1821351974
- **Authorized official:** DR. JAMES R STEWART JR. DDS (PRESIDENT)
- **Authorized official phone:** (734) 425-4400

## Contact information

- **Practice address:** 15873 MIDDLEBELT RD, SUITE 100, LIVONIA, MI 48154-3896
- **Practice address phone:** (734) 425-4400
- **Practice address fax:** (734) 425-8067
- **Mailing address:** 15873 MIDDLEBELT RD, SUITE 100, LIVONIA, MI 48154-3896
- **Mailing address phone:** (734) 425-4400
- **Mailing address fax:** (734) 425-8067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 14750 | MI | Yes |

## Other

- **Enumeration date:** 06/22/2012
- **Last updated:** 02/06/2019
