Grand River Family Dentistry P.c. is a Dental Clinic in Detroit, Michigan. It is located at 24366 Grand River Ave, Suite 111, Detroit, MI and its contact number is 313-535-2273. The authorized person for Grand River Family Dentistry P.c. is Dr. Abraham Lawrence Azzouz
who is President Dentist of the clinic and their contact number is 313-535-2273. The primary license number for Grand River Family Dentistry P.c. is 2901015675 (General Practice) in Michigan. Grand River Family Dentistry P.c. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Grand River Family Dentistry P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Grand River Family Dentistry P.c.
Specialization:
General Practice Dentistry
Clinic Address:
24366 Grand River Ave, Suite 111, Detroit, Michigan, 48219-3063
Phone:
313-535-2273
Fax:
313-535-5212
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Abraham Lawrence Azzouz
Position:
President Dentist
Contact Number:
313-535-2273
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Grand River Family Dentistry P.c. clinic are as mentioned below.
NPI Number:
1467401141
NPI Enumeration Date:
09 May, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand River Family Dentistry P.c. are as mentioned below.
Specialization
License Number
State
Status
General Practice
2901015675
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
BA2373443
Other
U.s. D.e.a.
873745
Other
Michigan
United Concordia
D800185
Other
Michigan
Blue Cross Blue Sheild
3197750
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Grand River Family Dentistry P.c. 24366 Grand River Ave, Suite 111 Detroit, Michigan
Zip:
48219-3063
Phone Number:
313-535-2273
Fax Number:
313-535-5212
Patients can reach Grand River Family Dentistry P.c. at 24366 Grand River Ave, Suite 111, Detroit, Michigan or can call to book an appointment on 313-535-2273. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.