Provider Demographics
NPI:1952037293
Name:PARKWEST DENTAL
Entity Type:Organization
Organization Name:PARKWEST DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RODWIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-326-0000
Mailing Address - Street 1:36700 FORD RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3770
Mailing Address - Country:US
Mailing Address - Phone:734-326-0000
Mailing Address - Fax:
Practice Address - Street 1:36700 FORD RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-3770
Practice Address - Country:US
Practice Address - Phone:734-326-0000
Practice Address - Fax:734-326-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty