OrganizationActive
Detroit Receiving Hospital & University Health Center
NPI 1497939607 · Oral and Maxillofacial Surgery Clinic/Center · Detroit, MI
Provider details
- NPI number
- 1497939607
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Gloria Larkins, Vice President Finance
- License
- 261QS0112X (MI)
Practice location
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone: (313) 578-2164
Fax: (313) 578-3964
Mailing address
4201 Saint Antoine St
Detroit, MI 48201-2153
Registry dates
- Enumerated
- 2007-12-24
- Last updated
- 2008-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.