Organization
DEVELOPMENTAL DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE FAGAN (BUSINESS COORDINATOR)
(313) 576-2538
Entity
Organization
Contact information
Practice address
79 W ALEXANDRINE ST, 3RD. FLOOR, DETROIT, MI 48201-2015
(313) 576-2538
(313) 576-2534
Mailing address
79 W ALEXANDRINE ST, 3RD. FLOOR, DETROIT, MI 48201-2015
(313) 576-2538
(313) 576-2534
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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