AMAZING DENTAL SOUTHFIELD PLLC (NPI# 1245847383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245847383 |
| Entity Type | Organization |
| Organization Name | AMAZING DENTAL SOUTHFIELD PLLC |
| Practice Address |
22972 Lahser Rd Ste 2 Southfield MI 48033-4408 |
| Practice Telephone | 2488439191 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | DAWSAR NAJOR (MANAGER) |
| Authorized Official Telephone | 7346800420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
22972 LAHSER RD STE 2 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299974 | George D. Najor Dds | Clinic/Center | 26776 W 12 Mile Rd Ste 103, Southfield, MI 48034-7807 | 2020-09-14 |
| 1730797556 | Diane I Hines Dds PC | Clinic/Center | 21500 W 11 Mile Rd, Southfield, MI 48076-3843 | 2020-07-17 |
| 1275018087 | Amazing Dental Pllc | Clinic/Center | 22972 Lahser Rd Ste 1, Southfield, MI 48033-4408 | 2018-09-27 |
| 1972026847 | James Watson Dds Pllc | Clinic/Center | 20307 W 12 Mile Rd Ste 106, Southfield, MI 48076-5407 | 2017-07-21 |
| 1417206947 | Southfield Dental Care P.C. | Clinic/Center | 26561 W. 12 Mile Rd. Ste. 105, Southfield, MI 48034 | 2012-08-30 |
| 1568072783 | Roy M Rosen Dds | Clinic/Center | 25511 Southfield Rd, Southfield, MI 48075-1856 | 2020-08-03 |
| 1659997716 | Michigan Family Dental Care | Clinic/Center | 26699 W 12 Mile Rd Ste 200, Southfield, MI 48034-7815 | 2020-06-24 |
| 1134755317 | Amazing Dental Pllc | Clinic/Center | 22972 Lahser Rd Ste 1, Southfield, MI 48033-4408 | 2020-03-19 |
| 1134576424 | Liv Dental, Pllc | Clinic/Center | 30003 Southfield Rd, Southfield, MI 48076-1433 | 2016-05-17 |
| 1588006837 | Evergreen Dental Care | Clinic/Center | 24450 Evergreen Rd, Suite 101, Southfield, MI 48075-5518 | 2013-07-26 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on AMAZING DENTAL SOUTHFIELD PLLC.
| 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.