ARTESIAN DENTAL GROUP, PLC – NPI #1831264621
Clinic/Center

ARTESIAN DENTAL GROUP, PLC is an AHC clinic located in DETROIT, MI. NPPES has assigned the NPI number 1831264621 to ARTESIAN DENTAL GROUP, PLC on November 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARTESIAN DENTAL GROUP, PLC below.

NPI Profile for
ARTESIAN DENTAL GROUP, PLC

NPI Number
1831264621
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARTESIAN DENTAL GROUP, PLC
Primary location
18940 SCHOOLCRAFT
DETROIT, MI 48223-2906
Phone: (313) 835-6758 Fax: (313) 835-6759
Mailing address
P.O.BOX 21-785
DETROIT, MI 48221
Phone: (313) 835-6758 Fax: (313) 835-6759
Organization Subpart
No
Authorized Official
MELANIE MAYBERRY
DENTIST OWNER
Phone: (313) 835-6758
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 MI 2901016544

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.