Individual
PAUL F BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDM
Contact information
Practice address
7633 E JEFFERSON AVE STE 70, DETROIT, MI 48214-3730
(313) 499-4775
Mailing address
7633 E JEFFERSON AVE STE 70, DETROIT, MI 48214-3730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.024928
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901601179
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
4301504167
MI
208D00000X
General Practice Physician
4301504167
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2015
Last updated
10/13/2025
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