Bedell, Shadows Oye

Bedell, Shadows Oye is an individual health care provider with primary practice located at 19600 Van Dyke Street , Detroit MI 48234-3328. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bedell, Shadows Oye can be contacted via phone (313) 892-9100.

Contact Information

Primary practice address
19600 Van Dyke Street Detroit MI 48234-3328
Phone: (313) 892-9100
Fax: (313) 892-0204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901012360 Michigan

Profile Details

NPI number 1083663702
LBN Legal business name Bedell, Shadows Oye
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jul 9th, 2007 - about 17 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 1083663702 NPPES
Michigan MEDICAID 1240515450372
Michigan MEDICAID 1242908490512

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