Organization
MCADOO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD MCADOO D.D.S. (OWNER)
(313) 537-3800
Entity
Organization
Contact information
Practice address
18424 W MCNICHOLS RD, DETROIT, MI 48219-4161
(313) 537-3800
(313) 537-2080
Mailing address
18424 W MCNICHOLS RD, DETROIT, MI 48219-4161
(313) 537-3800
(313) 537-2080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4056710
—
MI
Enumeration date
01/03/2007
Last updated
08/22/2020
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