Provider Demographics
NPI:1275268278
Name:HIGHLAND DENTAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:HIGHLAND DENTAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:LEVASSEUR
Authorized Official - Last Name:LEVASSEUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-698-2220
Mailing Address - Street 1:11000 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48386-2153
Mailing Address - Country:US
Mailing Address - Phone:248-698-2220
Mailing Address - Fax:248-698-0360
Practice Address - Street 1:11000 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48386-2153
Practice Address - Country:US
Practice Address - Phone:248-698-2220
Practice Address - Fax:248-698-0360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental