Provider Demographics
NPI:1922311588
Name:A ONE DAY DENTURES, P.C.
Entity Type:Organization
Organization Name:A ONE DAY DENTURES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-577-1300
Mailing Address - Street 1:1325 W 14 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-1056
Mailing Address - Country:US
Mailing Address - Phone:248-577-1300
Mailing Address - Fax:248-577-0100
Practice Address - Street 1:1325 W 14 MILE RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-1056
Practice Address - Country:US
Practice Address - Phone:248-577-1300
Practice Address - Fax:248-577-0100
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A ONE DENTURES, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI10959261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental