# PAINT CREEK DENTISTRY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paint Creek Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912929977
- **Authorized official:** DR. RONALD CHARLES MIAKININ D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (248) 652-3663

## Contact information

- **Practice address:** 4450 COLLINS RD, ROCHESTER, MI 48306-1620
- **Practice address phone:** (248) 652-3663
- **Practice address fax:** (248) 652-2305
- **Mailing address:** 4450 COLLINS RD, ROCHESTER, MI 48306-1620
- **Mailing address phone:** (248) 652-3663
- **Mailing address fax:** (248) 652-2305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 13306 | MI | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2020