ADVANCE DENTISTRY CENTER (NPI# 1063660348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063660348 |
| Entity Type | Organization |
| Organization Name | ADVANCE DENTISTRY CENTER |
| Practice Address |
31350 Telegraph Rd Suite 101 Bingham Farms MI 48025-4366 |
| Practice Telephone | 2485949592 |
| Mailing Telephone | 2485949592 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | DR. SUHAIL MATI (DENTIST) |
| Authorized Official Telephone | 2485949592 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901018720 | MI | Dental Providers |
| Street Address |
31350 TELEGRAPH RD SUITE 101 |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891803292 | Phillip Raznik | Optometrist | 31350 Telegraph Rd, Suite 102, Bingham Farms, MI 48025-4366 | 2006-08-26 |
| 1043506959 | Doug Cutler | Naturopath | 31350 Telegraph Rd, Suite 102, Bingham Farms, MI 48025-4366 | 2011-06-20 |
| 1710198114 | Bruce Gambill Ryding | Dentist | 31350 Telegraph Rd, Suite 202, Bingham Farms, MI 48025 | 2007-05-25 |
| 1356467708 | Rainbow Dental Dds,pc | Dentist | 31350 Telegraph Rd, Suite 101, Bingham Farms, MI 48025-4366 | 2007-03-21 |
| 1598801581 | David Belokonny | Dentist | 31350 Telegraph Rd, Suite 203, Bingham Farms, MI 48025-4366 | 2007-01-29 |
| 1831293414 | Low Vision Associates, P.C. | Optometrist | 31350 Telegraph Rd, Suite 102, Bingham Farms, MI 48025-4366 | 2006-09-12 |
| 1881797322 | Susan Raznik Gormezano | Optometrist | 31350 Telegraph Rd, Ste 102, Bingham Farms, MI 48025-4366 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659775054 | Larry Degroat,d.d.s.,p.c. | Dentist | 32100 Telegraph Rd Ste 102, Bingham Farms, MI 48025-2408 | 2014-10-14 |
| 1104235225 | Bingham Farms Family Dentistry | Dentist | 31000 Telegraph Rd, Suite 160, Bingham Farms, MI 48025-4360 | 2014-08-04 |
| 1225158959 | Robert M Dery | Dentist | 24255 W 13 Mile Rd, Suite 170, Bingham Farms, MI 48025-4320 | 2007-03-29 |
| 1285750752 | John A Decarolis | Dentist | 24255 W 13 Mile Rd, Suite 150, Bingham Farms, MI 48025-4320 | 2007-03-22 |
| 1487796686 | Jeffrey I Lipton | Dentist | 30700 Telegraph Rd, Suite 2676, Bingham Farms, MI 48025 | 2007-02-13 |
| 1598801581 | David Belokonny | Dentist | 31350 Telegraph Rd, Suite 203, Bingham Farms, MI 48025-4366 | 2007-01-29 |
| 1447301775 | Bruce A Hagelthorn | Dentist | 31700 Telegraph Rd, Suite 240, Bingham Farms, MI 48025-3407 | 2007-01-15 |
| 1205997939 | David Paul Groth | Dentist | 32100 Telegraph Rd, Suite 195, Bingham Farms, MI 48025-2452 | 2006-12-13 |
| 1902964778 | J. Michael Owen | Dentist | 31000 Telegraph Rd, #170, Bingham Farms, MI 48025-4360 | 2006-12-05 |
| 1215011499 | William F Janelle D.d.s., P.C. | Dentist | 31000 Telegraph Rd, Suite 160, Bingham Farms, MI 48025-4360 | 2006-10-25 |
| Find all providers in BINGHAM FARMS | ||||
| City | BINGHAM FARMS |
| Zip Code | 48025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.