# THOMAS G. SANTAROSSA DDS PC

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

## Provider details

- **NPI number:** 1881644243
- **Authorized official:** DR. THOMAS GREGORY SANTAROSSA D.D.S. (OWNER)
- **Authorized official phone:** (248) 620-9010

## Contact information

- **Practice address:** 7210 N MAIN ST, SUITE 104, CLARKSTON, MI 48346-1575
- **Practice address phone:** (248) 620-9010
- **Practice address fax:** (248) 620-0433
- **Mailing address:** 7210 N MAIN ST, SUITE 104, CLARKSTON, MI 48346-1575
- **Mailing address phone:** (248) 620-9010
- **Mailing address fax:** (248) 620-0433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13006 | MI | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 08/22/2020