Provider Demographics
NPI:1558762468
Name:WESTPOINTE DENTAL PC
Entity Type:Organization
Organization Name:WESTPOINTE DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:LENARD BEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-327-1000
Mailing Address - Street 1:27235 JOY RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-1022
Mailing Address - Country:US
Mailing Address - Phone:313-327-1000
Mailing Address - Fax:313-551-3006
Practice Address - Street 1:27235 JOY RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-1022
Practice Address - Country:US
Practice Address - Phone:313-327-1000
Practice Address - Fax:313-551-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI176551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty