Provider Demographics
NPI:1821894593
Name:IONUT FAMILY DENTAL PLLC
Entity type:Organization
Organization Name:IONUT FAMILY DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:IONUT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:734-890-2885
Mailing Address - Street 1:39393 VAN DYKE AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-4636
Mailing Address - Country:US
Mailing Address - Phone:586-983-8015
Mailing Address - Fax:586-983-8018
Practice Address - Street 1:39393 VAN DYKE AVE STE 106
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-4636
Practice Address - Country:US
Practice Address - Phone:586-983-8015
Practice Address - Fax:586-983-8018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty