Provider Demographics
NPI:1699819755
Name:PINKNEY, GREENBAUM, MACFARLAND DDS, PC
Entity Type:Organization
Organization Name:PINKNEY, GREENBAUM, MACFARLAND DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-981-4040
Mailing Address - Street 1:21778 SHEFFIELD DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-5463
Mailing Address - Country:US
Mailing Address - Phone:734-981-4040
Mailing Address - Fax:734-981-2683
Practice Address - Street 1:42301 CHERRY HILL RD
Practice Address - Street 2:SUITE D
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-9801
Practice Address - Country:US
Practice Address - Phone:734-981-4040
Practice Address - Fax:734-981-2683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI290101116151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty