Provider Demographics
NPI:1003993973
Name:HSIEH, CALVIN C (DDS)
Entity Type:Individual
Prefix:
First Name:CALVIN
Middle Name:C
Last Name:HSIEH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35939 MORAVIAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP.
Mailing Address - State:MI
Mailing Address - Zip Code:48305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35939 MORAVIAN DRIVE
Practice Address - Street 2:
Practice Address - City:CLINTON TWP.
Practice Address - State:MI
Practice Address - Zip Code:48305
Practice Address - Country:US
Practice Address - Phone:586-790-8668
Practice Address - Fax:586-790-8631
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901018885 1602343122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist