# MERCY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932219383
- **Authorized official:** JACK WEINER (PRESIDENT & CEO)
- **Authorized official phone:** (248) 858-3140

## Contact information

- **Practice address:** 44405 WOODWARD AVE, PONTIAC, MI 48341-5023
- **Practice address phone:** (248) 858-6100
- **Mailing address:** 44405 WOODWARD AVE, PONTIAC, MI 48341-5023
- **Mailing address phone:** (248) 858-6100

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 06/23/2011