Organization
EDWARD STREET DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M HOMER DDS (OWNER)
(248) 548-6110
Entity
Organization
Contact information
Practice address
707 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2533
(248) 548-6110
(248) 548-2718
Mailing address
707 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2533
(248) 548-6110
(248) 548-2718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13530
MI
1223G0001X
General Practice Dentistry
Primary
17110
MI
Other
Enumeration date
01/03/2006
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