DR. JOSE SABASA AVILES IV (NPI# 1114082716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114082716 |
| Entity Type | Individual |
| Full Name | DR. JOSE SABASA AVILES IV |
| Credential | DDS |
| Practice Address |
30555 Southfield Rd Suite 320 Southfield MI 48076-1221 |
| Practice Telephone | 2484331469 |
| Practice Fax Number | 2484331424 |
| Mailing Telephone | 2484331469 |
| Mailing Fax Number | 2484331424 |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901017777 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1013365303 | Jose Luis Aviles | Dentist | 228 Church St, Berlin, NH 03570-2129 | 2016-05-27 |
| 1346264207 | Jose Aviles | General Practice | 168 Ave Winston Churchill, Ste 1, San Juan, PR 00926-6013 | 2006-07-26 |
| Street Address |
30555 SOUTHFIELD RD SUITE 320 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831172303 | Pamila Diwan | Obstetrics & Gynecology | 30555 Southfield Rd, Ste 180, Southfield, MI 48076-1221 | 2005-11-29 |
| 1952848475 | Charmaine Bond | Registered Nurse | 30555 Southfield Rd, Suite 208, Southfield, MI 48076-1221 | 2017-01-23 |
| 1568890044 | Center for Individual and Family Counseling Inc | Social Worker | 30555 Southfield Rd, Ste 340, Southfield, MI 48076-1221 | 2013-10-22 |
| 1376769430 | Pauline Jones Furman | Counselor | 30555 Southfield Rd, 340, Southfield, MI 48076-7752 | 2007-04-17 |
| 1609935758 | Bonita R Branch-yapa | Dentist | 30555 Southfield Rd, Suite 310, Southfield, MI 48076-1221 | 2006-12-06 |
| 1740357714 | Healing Wheel, Inc. | Home Health | 30555 Southfield Rd, Suite 208, Southfield, MI 48076-7751 | 2006-11-29 |
| 1700846151 | Marc Stuart Terebelo | Chiropractor | 30555 Southfield Rd, Ste 155, Southfield, MI 48076-7750 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| 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 |
|---|---|---|---|---|
| 1669017497 | Adler Dental Pllc | Dentist | 26771 W 12 Mile Rd Ste G115, Southfield, MI 48034-1539 | 2019-11-15 |
| 1285287094 | Julius Husam Abbu | Dentist | 22692 Pontchartrain Dr, Southfield, MI 48034-6205 | 2019-07-20 |
| 1346789047 | David M Kirschner Dds PC | Dentist | 29425 Northwestern Hwy Ste 310, Southfield, MI 48034-1000 | 2017-02-15 |
| 1558714659 | Kevin Geller | Dentist | 22660 Twyckingham Way, Southfield, MI 48034-6257 | 2016-07-13 |
| 1073994406 | Uppleger Dental | Dentist | 30855 Southfield Rd, Southfield, MI 48076-7735 | 2015-06-11 |
| 1013398502 | Faddi Salim | Dentist | 22180 Ivanhoe Ln, Southfield, MI 48034-5111 | 2015-06-10 |
| 1447493812 | Majed N Zayouna | Dentist | 21701 W 11 Mile Rd Ste 5, Southfield, MI 48076-3713 | 2009-04-14 |
| 1982849683 | Southfield Dental Center PC | Dentist | 17727 W. Ten Mile Rd., Southfield, MI 48075 | 2008-12-09 |
| 1982877254 | Cynthia Foster Dds PC | Dentist | 23077 Greenfield Rd Ste 290, Southfield, MI 48075-3745 | 2008-04-08 |
| 1144427915 | Steven K Markowitz | Dentist | 24764 Southfield Rd, Southfield, MI 48075-2715 | 2007-06-27 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
Please comment or provide details below to improve the information on DR. JOSE SABASA AVILES IV.
| 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.