Provider Demographics
NPI:1174626196
Name:OAKLAND FAMILY DENTISTRY
Entity type:Organization
Organization Name:OAKLAND FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERVAT
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLOZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-855-1855
Mailing Address - Street 1:7125 ORCHARD LAKE RD
Mailing Address - Street 2:STE 310
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322
Mailing Address - Country:US
Mailing Address - Phone:248-855-1855
Mailing Address - Fax:248-855-3824
Practice Address - Street 1:7125 ORCHARD LAKE RD
Practice Address - Street 2:STE 310
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322
Practice Address - Country:US
Practice Address - Phone:248-855-1855
Practice Address - Fax:248-855-3824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty