Organization
MILAN DENTAL ASSOCIATES, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R. GREGG (OWNER)
(734) 439-1543
Entity
Organization
Contact information
Practice address
519 W MAIN ST, MILAN, MI 48160-9559
(734) 439-1543
(734) 439-0553
Mailing address
519 W MAIN ST, MILAN, MI 48160-9559
(734) 439-1543
(734) 439-0553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10131
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110788
PRUDENTIAL DMO ID
MI
05
—
2602947
—
MI
05
—
4050468
—
MI
05
—
4135430
—
MI
Enumeration date
05/24/2005
Last updated
08/22/2020
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