ADMIRE DENTAL OF MICHIGAN PLLC (NPI# 1255854212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255854212 |
| Entity Type | Organization |
| Organization Name | ADMIRE DENTAL OF MICHIGAN PLLC |
| Practice Address |
13219 Eureka Rd Southgate MI 48195-1309 |
| Practice Telephone | 7344410200 |
| Practice Fax Number | 7344410201 |
| Mailing Telephone | 7344410200 |
| Mailing Fax Number | 7344410201 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |
| Authorized Official Name | DR. AMANDEEP KAUR (OWNER) |
| Authorized Official Telephone | 7344410200 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901020561 | MI | Dental Providers |
| Street Address |
13219 EUREKA RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992358592 | Lauren Mammina | Dentist | 13219 Eureka Rd, Southgate, MI 48195-1309 | 2019-07-23 |
| 1912410598 | Jiawei Han | Dentist | 13219 Eureka Rd, Southgate, MI 48195-1309 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1710393095 | Andres Wilson Setaputri | Dentist | 16060 Holz Dr Unit 77, Southgate, MI 48195-2991 | 2014-07-07 |
| 1760536833 | Matthew Scott Dubois | Dentist | 13046 Eureka Rd, Southgate, MI 48195-1346 | 2007-01-23 |
| 1528136314 | James E Mchale | Dentist | 15310 Trenton Rd, Southgate, MI 48195 | 2006-12-01 |
| 1285613430 | Charles E Owens | Dentist | 13112 Fort St, Southgate, MI 48195-1102 | 2006-01-14 |
| 1104455088 | Joseph Abiad Dds Pllc | Dentist | 13703 Northline Rd, Southgate, MI 48195-1866 | 2020-04-03 |
| 1891325239 | David Grachek, Jr.,dds | Dentist | 13745 Northline Rd, Southgate, MI 48195-1866 | 2020-01-24 |
| 1992358592 | Lauren Mammina | Dentist | 13219 Eureka Rd, Southgate, MI 48195-1309 | 2019-07-23 |
| 1912410598 | Jiawei Han | Dentist | 13219 Eureka Rd, Southgate, MI 48195-1309 | 2017-11-06 |
| 1073648101 | Charles Peter Zammit | Dentist | 15185 Allen Rd, Southgate, MI 48195-2921 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1821696956 | Dream Dental Group Pllc | Dentist | 9600 Commerce Rd, Commerce Twp, MI 48382-4111 | 2020-10-12 |
| 1629675020 | Superior Family Dental | Dentist | 425 W Huron St Ste 140, Milford, MI 48381-2243 | 2020-10-08 |
| 1255948790 | Jamie L Hafke Dds Pllc | Dentist | 1955 N Pontiac Trl, Walled Lake, MI 48390-3157 | 2020-09-29 |
| 1942817812 | Maria Edith Cserhalmi | Dentist | 20618 Harper Ave., Harper Woods, MI 48225-1429 | 2020-09-25 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1396351045 | Sandra Alias | Dentist | 27828 Westcott Crescent Cir, Farmington Hills, MI 48334-5314 | 2020-09-18 |
| 1265047641 | Michigan Implant Dental Center | Dentist | 28701 Plymouth Rd Ste B, Livonia, MI 48150-2421 | 2020-09-11 |
| 1366057929 | Dr. Leigh Ellen Snyder Dds | Dentist | 16869 E 14 Mile Rd, Fraser, MI 48026-2239 | 2020-09-10 |
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.