Organization
WAVE DENTAL SPECIALISTS DETROIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER EMM (VP OPERATIONS)
(313) 268-0322
Entity
Organization
Contact information
Practice address
27283 W WARREN ST, DEARBORN HEIGHTS, MI 48127-1804
(313) 380-6323
Mailing address
27283 W WARREN ST, DEARBORN HTS, MI 48127-1804
(313) 268-0322
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
04/26/2026
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