Provider Demographics
NPI:1740555408
Name:PRIEUR, CYNTHIA ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:PRIEUR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42450 GARFIELD RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-5040
Mailing Address - Country:US
Mailing Address - Phone:586-263-4140
Mailing Address - Fax:
Practice Address - Street 1:42450 GARFIELD RD
Practice Address - Street 2:SUITE C
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-5040
Practice Address - Country:US
Practice Address - Phone:586-263-4140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010141261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice