Organization
DCP OF MICHIGAN (SUMMIT PLACE) PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ED MECKLER D.D.S. (CHAIRMAN OF THE BOARD)
(800) 487-4867
Entity
Organization
Contact information
Practice address
435 N TELEGRAPH RD, WATERFORD, MI 48328-3332
(248) 683-9811
(248) 683-9815
Mailing address
5875 LANDERBROOK DR, STE 250, MAYFIELD HEIGHTS, OH 44124-6511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/27/2006
Last updated
09/11/2025
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