Organization
DISTINCTIVE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MICHAEL DAVIDSON DDS (DENTIST)
(586) 207-6013
Entity
Organization
Contact information
Practice address
58047 VAN DYKE RD, SUITE #101, WASHINGTON TWP, MI 48094-4000
(586) 207-6013
(586) 207-6300
Mailing address
58047 VAN DYKE RD, SUITE #101, WASHINGTON TWP, MI 48094-4000
(586) 207-6013
(586) 207-6300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
05/08/2008
Last updated
04/07/2025
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