Organization
ADVANCE DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J. NIVISON D.D.S. (PRESIDENT)
(810) 742-6600
Entity
Organization
Contact information
Practice address
3710 DAVISON RD, FLINT, MI 48506-4206
(810) 742-6600
(810) 742-5075
Mailing address
PO BOX 90539, BURTON, MI 48509-0539
(810) 742-6600
(810) 742-5075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14588
MI
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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