Individual provider · NPI-1

Dr. Danielle Lucy Dawisha, DDS

Dentist, General Practice · Mount Clemens, MI

NPI number1255991204
StatusActive
Last updated in NPPESMar 24, 2022

Details

NPI
1255991204
Entity type
Individual (NPI-1)
Name
Dr. Danielle Lucy Dawisha
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Jun 20, 2019
Certification date
Mar 14, 2022
Last updated
Mar 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2901600165MIYes

Practice location

233 Southbound Gratiot Ave
Mount Clemens, MI 48043-2413

Phone 586-783-8383

Mailing address

5342 Windham Hill Ct
West Bloomfield, MI 48323-2782

Phone 248-931-2024

Other practice locations

7125 Orchard Lake Rd
West Bloomfield, MI 48322-3615

Phone 248-539-9338

226 W State St
Montrose, MI 48457-9748

Phone 810-639-2079

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