# MICHIGAN DEPARTMENT OF CORRECTIONS

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

## Provider details

- **NPI number:** 1912379751
- **Authorized official:** DR. JONG CHOI (REGIONAL DENTAL DIRECTOR)
- **Authorized official phone:** (517) 780-5760

## Contact information

- **Practice address:** 17600 RYAN RD, DETROIT, MI 48212-1155
- **Practice address phone:** (313) 368-3200
- **Practice address fax:** (313) 368-6015
- **Mailing address:** 17600 RYAN RD, DETROIT, MI 48212-1155
- **Mailing address phone:** (313) 368-3200
- **Mailing address fax:** (313) 368-6015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 2901014477 | MI | Yes |
| 251S00000X | Community/Behavioral Health Agency | 2901014477 | MI | — |

## Other

- **Enumeration date:** 10/20/2015
- **Last updated:** 10/20/2015