Provider Demographics
NPI:1053681056
Name:DRS VANKER AND SAAD PLLC
Entity Type:Organization
Organization Name:DRS VANKER AND SAAD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:VANKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-646-3515
Mailing Address - Street 1:837 FOREST AVE.
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6452
Mailing Address - Country:US
Mailing Address - Phone:248-646-3515
Mailing Address - Fax:248-646-1952
Practice Address - Street 1:837 FOREST AVE.
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6452
Practice Address - Country:US
Practice Address - Phone:248-646-3515
Practice Address - Fax:248-646-1952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI114061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty