Provider Demographics
NPI:1043046790
Name:HIGHLAND ADVANCED DENTAL CARE PLLC
Entity type:Organization
Organization Name:HIGHLAND ADVANCED DENTAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LOCASCIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-887-8371
Mailing Address - Street 1:2950 E HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48356-2810
Mailing Address - Country:US
Mailing Address - Phone:248-887-8371
Mailing Address - Fax:248-889-1550
Practice Address - Street 1:2950 E HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48356-2810
Practice Address - Country:US
Practice Address - Phone:248-887-8371
Practice Address - Fax:248-889-1550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty