Organization
SHANNA MCGETTRICK DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNA MARIE MCGETTRICK DDS (PRESIDENT)
(248) 354-1555
Entity
Organization
Contact information
Practice address
6804 MEADOW CT, TROY, MI 48098-2032
(248) 354-1555
(248) 354-3331
Mailing address
19178 W 10 MILE RD, SOUTHFIELD, MI 48075-2445
(248) 354-1555
(248) 354-3331
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901020026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922234988
—
MI
Enumeration date
02/01/2016
Last updated
02/01/2016
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