Provider Demographics
NPI:1215545454
Name:WEST OAKS DENTAL GROUP, P.C.
Entity Type:Organization
Organization Name:WEST OAKS DENTAL GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:N
Authorized Official - Last Name:SELIGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-406-0180
Mailing Address - Street 1:33200 W 14 MILE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3570
Mailing Address - Country:US
Mailing Address - Phone:248-406-0180
Mailing Address - Fax:248-406-5088
Practice Address - Street 1:33200 W 14 MILE RD STE 100
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3570
Practice Address - Country:US
Practice Address - Phone:248-406-0180
Practice Address - Fax:248-406-5088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental