Provider Demographics
NPI:1538509286
Name:STERLING HEIGHTS DENTAL CARE P.C.
Entity Type:Organization
Organization Name:STERLING HEIGHTS DENTAL CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGE
Authorized Official - Prefix:
Authorized Official - First Name:SHAMS
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-910-4819
Mailing Address - Street 1:41400 DEQUINDRE RD
Mailing Address - Street 2:STE 103
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-3763
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41400 DEQUINDRE RD
Practice Address - Street 2:STE 103
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-3763
Practice Address - Country:US
Practice Address - Phone:248-910-4819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental