DCP OF MICHIGAN (LINCOLN PARK), P.C (NPI# 1396715702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396715702 |
| Entity Type | Organization |
| Organization Name | DCP OF MICHIGAN (LINCOLN PARK), P.C |
| Other Organization Name | DENTALWORKS OF ALLEN PARK |
| Practice Address |
3201 Fairlane Drive Allen Park MI 48101 |
| Mailing Address |
7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 |
| Practice Telephone | 3133899660 |
| Practice Fax Number | 2165841045 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2017-10-17 |
| Authorized Official Name | RACHEL NITTINGER (MANAGER CREDENTIALING) |
| Authorized Official Telephone | 9727550816 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTALONE PARTNERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
2901016600 | MI | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| DentalWorks of Allen Park | Doing Business As Name - Organization |
| Street Address |
3201 FAIRLANE DRIVE |
| City | ALLEN PARK |
| State | MI |
| Zip Code | 48101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184126633 | Monica Yalamanchili | Physical Therapist | 7445 Regina Ave, Allen Park, MI 48101 | 2018-03-01 |
| 1669928685 | Saad Khizar Usmani | Dentist | 6760 Allen Road, Suite 101, Allen Park, MI 48101 | 2016-08-30 |
| 1265778385 | Rx Discount Pharmacy | Pharmacy | 6811 Allen Rd, Allen Park, MI 48101 | 2012-12-18 |
| 1841540333 | Semaj Amia Dunson | Counselor | 4485 Willow Cove Blvd, Apt-a2, Allen Park, MI 48101 | 2012-09-12 |
| 1356678866 | Stephanie A Rea | Family Medicine | 8338 Allen Road, Suite 101, Allen Park, MI 48101 | 2009-11-05 |
| 1811133952 | John A. Newell | Family Medicine | 14839 Markese, Allen Park, MI 48101 | 2008-12-19 |
| 1497924203 | Kimberly Ann Polchlopek | Massage Therapist | 7740 Allen Rd, Allek Park, MI 48101 | 2008-02-26 |
| 1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
| 1316164098 | Early Solutions Clinic, LLC | Clinic/Center | 3555 Fairland Blvd., Allen Park, MI 48101 | 2007-04-20 |
| 1730201427 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3565 Fairlane Dr., Allen Park, MI 48101 | 2007-04-04 |
| Find all providers in zip 48101 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669928685 | Saad Khizar Usmani | Dentist | 6760 Allen Road, Suite 101, Allen Park, MI 48101 | 2016-08-30 |
| 1992006738 | Michael Casey Kakareka | Dentist | 6760 Allen Rd Ste 101, Allen Park, MI 48101-2062 | 2010-11-10 |
| 1528254844 | Paul G. Riker Dds, PC., & Assoc. | Dentist | 8439 Park Ave, Allen Park, MI 48101-1543 | 2007-09-20 |
| 1932390101 | Susan Cabadas | Dentist | 8048 Allen Rd, Allen Park, MI 48101-1706 | 2007-08-05 |
| 1083753446 | Frank Stankiewicz | Dentist | 7740 Allen Road, Allen Park, MI 48101 | 2007-02-05 |
| 1144301987 | Robert L Tar Dds PC | Dentist | 7720 Allen Rd, Allen Park, MI 48101-1928 | 2006-10-18 |
| 1871674002 | Michael Passera | Dentist | 6760 Allen Rd Ste 201, Allen Park, MI 48101-2062 | 2006-10-17 |
| 1316961329 | Kevin Joel Potocsky | Dentist | 17234 Goddard Rd, Allen Park, MI 48101-4100 | 2006-07-26 |
| 1548263080 | Mark Richard Cotton Sr. | Dentist | 8400 Allen Rd, Allen Park, MI 48101-1430 | 2005-05-30 |
| 1023617289 | Kevin J Potocsky, Dds,pc | Dentist | 7720 Allen Rd, Allen Park, MI 48101-1928 | 2020-10-20 |
| Find all providers in ALLEN PARK | ||||
| City | ALLEN PARK |
| Zip Code | 48101 |
Please comment or provide details below to improve the information on DCP OF MICHIGAN (LINCOLN PARK), P.C.
| 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.