# LAKE ORION FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1932700986
- **Authorized official:** DR. BRAD D GREENFIELD DDS (DENTIST/OWNER)
- **Authorized official phone:** (248) 693-6213

## Contact information

- **Practice address:** 1320 S LAPEER RD, LAKE ORION, MI 48360-1435
- **Practice address phone:** (248) 693-6213
- **Practice address fax:** (248) 693-1368
- **Mailing address:** 1320 S LAPEER RD, LAKE ORION, MI 48360-1435
- **Mailing address phone:** (248) 693-6213
- **Mailing address fax:** (248) 693-1368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2020
- **Last updated:** 11/05/2020