BLOOMFIELD DENTAL GROUP PC (NPI# 1306277363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306277363 |
| Entity Type | Organization |
| Organization Name | BLOOMFIELD DENTAL GROUP PC |
| Practice Address |
6443 Inkster Rd Ste 176 Bloomfield Hills MI 48301-1303 |
| Practice Telephone | 2488554143 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | DR. JESSICA JAMEEL KAKOS (PRESIDENT) |
| Authorized Official Telephone | 2488554143 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901018996 | MI | Dental Providers |
| Street Address |
6443 INKSTER RD STE 176 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48301-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299325 | Natalia Lynn Karmo | Dentist | 6443 Inkster Rd Ste 176, Bloomfield Hills, MI 48301-1303 | 2018-06-19 |
| 1780114165 | Carly Ann Szurek | Dentist | 6443 Inkster Rd Ste 176, Bloomfield Hills, MI 48301-1303 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386278992 | Next Level Home Care | Home Health | 3595 W Maple Rd Ste 208, Bloomfield Hills, MI 48301 | 2020-02-24 |
| 1811352230 | Freda B. Lerman, Lpc, Psyd, Lp, Pllc | Psychologist | 6905 Telegraph Road Suite 100, Bloomfield Hills, MI 48301 | 2015-12-30 |
| 1790113223 | Kathy Biehl Kelly | Nurse Practitioner | 3355 Morningview Terrace, Bloomfield Hills, MI 48301 | 2013-10-18 |
| 1538406855 | Dynamic Home Health Care Agency | Case Management | 3744 Lincoln Drive, Bloomfield Hills, MI 48301 | 2013-01-07 |
| 1366798373 | A3 Medical | Family Medicine | 4050 Maple Road, Suite 101, Bloomfield Township, MI 48301 | 2012-07-27 |
| 1013299361 | Michael Kovel Samson | Internal Medicine | 4790 Apple Grove Court, Bloomfield Hills, MI 48301 | 2011-09-13 |
| 1376786152 | Pamela Ann Hibbard Timrek | Speech-Language Pathologist | 3816 Lincoln Drive, Bloomfield Township, MI 48301 | 2009-04-09 |
| 1164694584 | Alexandra Krot | Internal Medicine | 169 Bassett Place, Bloomfield Hills, MI 48301 | 2008-03-26 |
| 1619170644 | Latha T Kannan, Md, PC | Internal Medicine | 6715 Birmingham Club Drive, Bloomfield Hills, MI 48301 | 2007-06-07 |
| 1699802975 | Rebeca Urquiola | Dentist | 4220 Surrey Cross, Bloomfield Hills, MI 48301 | 2007-02-27 |
| Find all providers in zip 48301 | ||||
| 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 |
|---|---|---|---|---|
| 1023388840 | Richard David Williams | Dentist | 100 W Hickory Grove Rd, Apt D5, Bloomfield Hills, MI 48304-2161 | 2012-01-10 |
| 1972733582 | Surbhi Desai | Dentist | 3624 Shoreview Ct, Bloomfield Hills, MI 48302-1256 | 2009-07-16 |
| 1295984177 | Amir Nafso Dds PC | Dentist | 36700 Woodward Ave Ste 200, Bloomfield Hills, MI 48304-0930 | 2008-09-16 |
| 1306006697 | Nasim Rahimi | Dentist | 300 E Long Lake Rd Ste 311, Bloomfield Hills, MI 48304-2377 | 2008-06-11 |
| 1700059581 | Gerald Mark Stulberg | Dentist | 39520 Woodward Ave Ste 208, Bloomfield Hills, MI 48304-5057 | 2008-04-11 |
| 1639388523 | Sandra Lee Seyfried | Dentist | 40646 Woodward Ave, Bloomfield Hills, MI 48304-5014 | 2007-05-21 |
| 1225250319 | Robert D Rousseau | Dentist | 6405 Telegraph Rd Ste J-3, Bloomfield Hills, MI 48301-1775 | 2007-05-02 |
| 1912127739 | James Edward Wright | Dentist | 44004 Woodward Ave, Ste 200, Bloomfield Hills, MI 48302-5031 | 2007-04-26 |
| 1144342825 | Michael Thomas Tobola | Dentist | 3278 South Blvd, Bloomfield Hills, MI 48304 | 2007-04-04 |
| 1326169715 | John H. Payne | Dentist | 21760 W 14 Mile Rd, Bloomfield Hills, MI 48301-4005 | 2007-04-03 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48301 |
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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.