Organization
DENTAL CARE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ILITCH D.D.S. (VICE-PRESIDENT)
(313) 838-0490
Entity
Organization
Contact information
Practice address
15311 W MCNICHOLS RD, DETROIT, MI 48235-3723
(313) 838-0490
Mailing address
15311 W MCNICHOLS RD, DETROIT, MI 48235-3723
(313) 838-0490
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14256
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2935560
—
MI
05
—
4915010
—
MI
Enumeration date
11/13/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us