Provider Demographics
NPI:1790398006
Name:HPS ADVANCED DENTAL CARE, PC
Entity Type:Organization
Organization Name:HPS ADVANCED DENTAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:PRANZARONE
Authorized Official - Last Name:STRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, FAGD
Authorized Official - Phone:248-652-0024
Mailing Address - Street 1:54887 BURLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-1607
Mailing Address - Country:US
Mailing Address - Phone:586-764-1514
Mailing Address - Fax:
Practice Address - Street 1:4741 24 MILE RD STE C
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-3111
Practice Address - Country:US
Practice Address - Phone:248-652-0024
Practice Address - Fax:248-218-0556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental