Provider Demographics
NPI:1851941041
Name:HEALTHY POINTE DENTAL PC
Entity Type:Organization
Organization Name:HEALTHY POINTE DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:CLARE EVERETT
Authorized Official - Last Name:ELSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-884-6680
Mailing Address - Street 1:18100 MACK AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48230-6252
Mailing Address - Country:US
Mailing Address - Phone:313-884-6680
Mailing Address - Fax:
Practice Address - Street 1:18100 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48230-6252
Practice Address - Country:US
Practice Address - Phone:313-884-6680
Practice Address - Fax:313-884-3640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental