Organization
GD MI BIRMINGHAM PLLC
Active
Other names
Birmingham Center for Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
555 S OLD WOODWARD AVE STE 701, BIRMINGHAM, MI 48009-6618
(248) 644-2136
Mailing address
555 S OLD WOODWARD AVE STE 701, BIRMINGHAM, MI 48009-6618
(248) 644-2136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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