Centerline Denture Clinic
Clinic/Center, Dental in Center Line, MI. Organization (NPI-2).
NPI number1497900302
StatusActive
Last updated in NPPESNov 19, 2008
Details
- NPI
- 1497900302
- Entity type
- Organization (NPI-2)
- Legal business name
- Centerline Denture Clinic
- Organization subpart
- No
- Enumeration date
- Nov 19, 2008
- Last updated
- Nov 19, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 4963 | MI | Yes |
Practice location
24625 Van Dyke AveCenter Line, MI 48015-2303
Phone 586-756-5880
Mailing address
24625 Van Dyke AveCenter Line, MI 48015-2303
Phone 586-756-5880
Authorized official
Renee K Elliott
Office Manager
5867565880
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