Provider Demographics
NPI:1144821216
Name:INSPIRED FAMILY DENTAL CARE
Entity type:Organization
Organization Name:INSPIRED FAMILY DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:ANN-ROEHRIG
Authorized Official - Last Name:SCHOTTHOEFER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-873-8904
Mailing Address - Street 1:1685 FAIRHOLME RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2368
Mailing Address - Country:US
Mailing Address - Phone:586-873-8904
Mailing Address - Fax:
Practice Address - Street 1:1685 FAIRHOLME RD
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-2368
Practice Address - Country:US
Practice Address - Phone:586-873-8904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental