Provider Demographics
NPI:1891890471
Name:BIEDERMAN, NEIL PETER (D D S)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:PETER
Last Name:BIEDERMAN
Suffix:
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41840 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1876
Mailing Address - Country:US
Mailing Address - Phone:586-286-7210
Mailing Address - Fax:586-286-1054
Practice Address - Street 1:41840 HAYES RD
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1876
Practice Address - Country:US
Practice Address - Phone:586-286-7210
Practice Address - Fax:586-286-1054
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010103941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI$$$$$$$$$OtherMETLIFE DENTAL
MI$$$$$$$$$OtherBCBS DENTAL
MI$$$$$$$$$OtherDELTA DENTAL