Provider Demographics
NPI:1811161060
Name:DAVID N. KAM, D.D.S., P.C.
Entity type:Organization
Organization Name:DAVID N. KAM, D.D.S., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-844-1300
Mailing Address - Street 1:155 N CANTON CENTER RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2901
Mailing Address - Country:US
Mailing Address - Phone:734-844-1300
Mailing Address - Fax:734-844-5072
Practice Address - Street 1:155 N CANTON CENTER RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2901
Practice Address - Country:US
Practice Address - Phone:734-844-1300
Practice Address - Fax:734-844-5072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental