DETALMAX PC
NPI 1194084780
Dentist - General Practice in Comstock Park, MI

Active since May 16, 2012
6655 ALPINE AVE NW, SUITE 1, COMSTOCK PARK, MI 49321(616) 784-8950(616) 784-9553 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Detalmax Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DETALMAX PC (NPI 1194084780) is a healthcare organization registered as a general practice in Comstock Park, Michigan and active in the NPI registry since May 2012. The organization lists Gregory P Houghteling, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194084780
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDETALMAX PC
Location Address6655 ALPINE AVE NW, SUITE 1Comstock Park, MI 49321-8000
Mailing Address6655 Alpine Ave Nw, Suite 1Comstock Park, MI 49321-8000 · (616) 784-8950 · Fax (616) 784-9553
Fax(616) 784-9553
Organization SubpartNo
Authorized OfficialGregory P HoughtelingCeo · (616) 784-8950
Enumeration DateMay 16, 2012
NPI 1194084780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901011820
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6655 ALPINE AVE NW, Comstock Park, MI 49321

Other Identifiers 1

Medicare PIN82071DMMI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
6655 ALPINE AVE NW
COMSTOCK PARK, MI 49321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Detalmax PC's NPI number?

The NPI number for Detalmax PC is 1194084780. It was assigned to this organization in the NPPES registry on May 16, 2012.

Where is Detalmax PC located?

Detalmax PC is located at 6655 Alpine Ave NW Suite 1, Comstock Park, MI 49321. The listed phone number is (616) 784-8950.

What is Detalmax PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Detalmax PC was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.