Organization
GREAT EXPRESSIONS DENTAL CENTERS OF CONNECTICUT, PC
Active
Parent organization
GREAT EXPRESSIONS DENTAL CENTERS
Other names
Great Expressions Dental Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT EXPRESSIONS DENTAL CENTERS
Authorized official
RICHARD E BECKMAN (CEO)
(248) 203-1100
Entity
Organization
Contact information
Practice address
300 E LONG LAKE RD, STE 311, BLOOMFIELD HILLS, MI 48304
(248) 203-1100
(248) 203-1112
Mailing address
300 E LONG LAKE RD, STE 311, BLOOMFIELD HILLS, MI 48304
(248) 203-1100
(248) 203-1112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
01/29/2007
Last updated
05/07/2015
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