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Active NPI 1295731420 Individual Practitioner Male Practitioner

Dr. Howard Paul Potocsky , DDS

Dentist - General Practice • Riverview, MI

Professional Overview & Biography Verified Profile Summary

Dr. Howard Potocsky, DDS is a registered healthcare professional specializing in Dentist - General Practice in Riverview, MI. Practice services are available at 17128 FORT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17128 Fort St

Riverview, MI 481926619

Telephone 7342813200
Fax 7342813890
Associated Practice Facility / Clinic
🏢 A Dental Center-Downriver Facility NPI 1528064771

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Riverview, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Riverview, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 18547

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4462818 (MI)
Commercial Insurance / Payer ID Blue Cross Blue Shield
J172880 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1174521553

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active September 10, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2007

Registered at 17128 FORT ST, RIVERVIEW, MI 481926619 (Tel: 7342813200)

📍
Updated Business Mailing Address September 10, 2007

Registered at 17128 FORT ST, RIVERVIEW, MI 481926619 (Tel: 7342813200)

👤
Provider Name / Credentials Updated September 10, 2007

Recorded as HOWARD POTOCSKY, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2007

Dentist (License #18547 in MI)

🟢
Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295731420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: September 10, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

17128 Fort St

Riverview, MI 481926619

Phone: 7342813200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.