Provider Demographics
NPI:1376140822
Name:PRESERVATION DENTAL
Entity Type:Organization
Organization Name:PRESERVATION DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:DEMRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-348-1313
Mailing Address - Street 1:371 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-1623
Mailing Address - Country:US
Mailing Address - Phone:248-348-1313
Mailing Address - Fax:248-348-1363
Practice Address - Street 1:371 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-1623
Practice Address - Country:US
Practice Address - Phone:248-348-1313
Practice Address - Fax:248-348-1363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental