Organization
AMERICAN DENTAL GROUP INC
Active
Other names
Great Expression Dental Centers
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E BECKMAN (CEO)
(248) 203-1121
Entity
Organization
Contact information
Practice address
300 E LONG LAKE RD, STE 311, BLOOMFIELD HILLS, MI 48304
(248) 203-1100
(248) 203-1112
Mailing address
300 E LONG LAKE RD, STE 311, BLOOMFIELD HILLS, MI 48304
(248) 203-1100
(248) 203-1112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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