Organization
ROY D MCANNELLY DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY D MCANNALLY DMD (ORTHODONTIST)
(248) 647-0696
Entity
Organization
Contact information
Practice address
50 W BIG BEAVER RD, SUITE 215, BLOOMFIELD HILLS, MI 48304
(248) 647-0696
Mailing address
50 W BIG BEAVER RD, SUITE 215, BLOOMFIELD HILLS, MI 48304
(248) 647-0696
(248) 647-3257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011253 0935920
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2901011253 0936712
MI
Other
Enumeration date
12/01/2006
Last updated
09/11/2025
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