Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore L. Degenhardt III , DDS ., PC .

Organization General Practice Dentistry · NPI 1467232504

Theodore L. Degenhardt III , DDS ., PC . is a General Practice Dentistry in Troy, Michigan. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2877 Crooks Rd Ste A
Troy, MI 48084-4717
Phone: (248) 643-6551
Fax: (248) 539-3538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1467232504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Degenhardt — Owner · (248) 643-6551
Other names Degenhardt Dental
NPI enumeratedOctober 5, 2023
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address2877 Crooks Rd Ste A, Troy, MI 48084-4717

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