Provider Demographics
NPI:1144399072
Name:JANOWER, MARTIN GARY (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:GARY
Last Name:JANOWER
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 1:6216 CROMWELL ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2085
Mailing Address - Country:US
Mailing Address - Phone:248-661-5757
Mailing Address - Fax:
Practice Address - Street 1:30233 DEQUINDRE
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071
Practice Address - Country:US
Practice Address - Phone:248-588-2930
Practice Address - Fax:248-588-2934
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI12303122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist