Provider Demographics
NPI:1710039904
Name:PRIEHS, TRESSA A (DDS)
Entity type:Individual
Prefix:DR
First Name:TRESSA
Middle Name:A
Last Name:PRIEHS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43410 W 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-3172
Mailing Address - Country:US
Mailing Address - Phone:248-348-2100
Mailing Address - Fax:248-348-3252
Practice Address - Street 1:43410 W 10 MILE RD
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-3172
Practice Address - Country:US
Practice Address - Phone:248-348-3100
Practice Address - Fax:248-348-3252
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010188501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice