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EDWARD STREET DENTAL
NPI 1700864527
Dentist - General Practice in Madison Heights, MI

Active since January 03, 2006
707 E 12 MILE RD, MADISON HEIGHTS, MI 48071(248) 548-6110(248) 548-2718 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Edward Street Dental NPPES

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

EDWARD STREET DENTAL (NPI 1700864527) is a healthcare organization registered as a general practice in Madison Heights, Michigan and active in the NPI registry since January 2006. The organization lists Kevin M Homer, Owner, as its authorized official.

NPPES Registry Identity

NPI1700864527
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEDWARD STREET DENTAL
Location Address707 E 12 MILE RDMadison Heights, MI 48071-2533
Mailing Address707 E 12 Mile RdMadison Heights, MI 48071-2533 · (248) 548-6110 · Fax (248) 548-2718
Phone(248) 548-6110
Fax(248) 548-2718
Organization SubpartNo
Authorized OfficialKevin M HomerOwner · (248) 548-6110
Enumeration DateJanuary 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1700864527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MI · 17110✔ Licensed in MI · 13530
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.
707 E 12 MILE RD, Madison Heights, MI 48071
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 3

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

MAXWELL JACOB WATZMAN DDS
Dentist (General Practice)
707 E 12 MILE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 548-6110
DR. KEVIN M HOMER DDS
Dentist
707 E 12 MILE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 548-6110
DR. JEFFREY ELLIOT WATZMAN DDS
Dentist
707 E 12 MILE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 548-6110

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 Edward Street Dental's NPI number?

The NPI number for Edward Street Dental is 1700864527. It was assigned to this organization in the NPPES registry on January 3, 2006.

Where is Edward Street Dental located?

Edward Street Dental is located at 707 E 12 Mile Rd, Madison Heights, MI 48071. The listed phone number is (248) 548-6110.

What is Edward Street Dental's specialty?

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

What insurance does Edward Street Dental accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Edward Street Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Street Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.