Such, Mary Kathryn

Such, Mary Kathryn is an individual health care provider with primary practice located at 20217 Ann Arbor Trail , Dearborn Heights MI 48127-2692. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Such, Mary Kathryn can be contacted via phone (313) 982-3720.

Contact Information

Primary practice address
20217 Ann Arbor Trail Dearborn Heights MI 48127-2692
Phone: (313) 982-3720
Fax: (313) 982-3723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901013009 Michigan

Profile Details

NPI number 1255487237
LBN Legal business name Such, Mary Kathryn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255487237 NPPES
Michigan MEDICAID 3278447

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