Organization
REPASKY & SWARTS P.C.
Active
Other names
Dundee Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M REPASKY D.D.S., M.P.H. (C.E.O.)
(734) 529-3031
Entity
Organization
Contact information
Practice address
424 E MONROE ST, DUNDEE, MI 48131-1380
(734) 529-3031
(734) 529-5827
Mailing address
424 E MONROE ST, DUNDEE, MI 48131-1380
(734) 529-3031
(734) 529-5827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10538
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
896808
UNITED CONCORDIA PROVIDER
MI
01
—
D8023707
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/02/2007
Last updated
08/22/2020
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