# OCIE DRAKE, JR, DDS, PC

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

## Provider details

- **NPI number:** 1861401697
- **Authorized official:** DR. OCIE DRAKE JR. DDS (PRESIDENT)
- **Authorized official phone:** (248) 646-6966

## Contact information

- **Practice address:** 18161 W 13 MILE RD, SUITE D1, SOUTHFIELD, MI 48076-1113
- **Practice address phone:** (248) 646-6966
- **Practice address fax:** (248) 646-4558
- **Mailing address:** 18161 W 13 MILE RD, SUITE D1, SOUTHFIELD, MI 48076-1113
- **Mailing address phone:** (248) 646-6966
- **Mailing address fax:** (248) 646-4558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901010788 | MI | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 12/02/2014