Downriver Dental Associates P.C.
Legal Business Name
Downriver Dental Associates P.C.
NPI Number
1336231497
NPI Type
Organization
Enumeration Date
09/28/2006
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
3830 FORT ST.
3830 FORT STREET
City
Lincoln Park
Lincoln Park
State
MI
MI
Postal Code
48146
48146
Country
US
US
Telephone Number
(313) 383-6800
(313) 383-6800
Authorized Official
Name
Dr. Ronald Grumet
Title or Position
VICE-PRESIDENT
Telephone Number
(313) 383-6800
Identifiers
Identifier
D803850
Identifier State
MI
Identifier Issuer
BLUE CROSS/BLUE SHIELD
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020