OrganizationActive
Detroit Receiving Hospital and University Health Center
NPI 1679808042 · Oral and Maxillofacial Surgery (Dentist) · Detroit, MI
Provider details
- NPI number
- 1679808042
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Gloria Larkins, Vice President of Michigan(313) 745-2117
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone: (313) 745-4622
Street-level locationGet directions
Mailing address
Po Box 67000 Dept 614150
Detroit, MI 48267-4150
Registry dates
- Enumerated
- 2009-10-02
- Last updated
- 2009-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.