DRJ OF LIVERNOIS PLLC


Address: 15510 Livernois Ave, Detroit, MI 48238-1343
Phone: 3135828150

DRJ OF LIVERNOIS PLLC (NPI# 1457745457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457745457
Entity Type Organization
Organization Name DRJ OF LIVERNOIS PLLC
Practice Address 15510 Livernois Ave
Detroit
MI 48238-1343
Mailing Address 5050 Schaefer Rd
Dearborn
MI 48126-3249
Practice Telephone 3135828150
Practice Fax Number 3135820745
Mailing Telephone 3135828150
Mailing Fax Number 3135820745
Enumeration Date 2015-03-27
Last Update Date 2015-03-27
Authorized Official Name JOHN MORGAN JR. (ADMINISTRATIVE DIRECTOR)
Authorized Official Telephone 3135828150
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Office Location

Street Address 15510 LIVERNOIS AVE
City DETROIT
State MI
Zip Code 48238-1343

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932265899 Carol Ann Trepanier Dentist 15510 Livernois Ave, Detroit, MI 48238-1343 2006-12-28
1740766609 Faisal Saeed Dentist 15510 Livernois Ave, Detroit, MI 48238-1343 2018-07-13
1790228476 Detroit Dental Care, PC Dentist 15510 Livernois Ave, Detroit, MI 48238-1343 2016-11-29
1841648987 Stark Dental, PC Dentist 15510 Livernois Ave, Detroit, MI 48238-1343 2016-05-31
1134582802 Comprehensive Dental, PC Dentist 15510 Livernois Ave, Detroit, MI 48238-1343 2016-03-31
1518344084 Detroit Dental Center, PC Dentist 15510 Livernois Ave, Detroit, MI 48238-1343 2015-05-04
1558758649 Sensational Dental, PC Dentist 15510 Livernois Ave, Detroit, MI 48238-1343 2015-04-16
1225423361 Superb Dental, PC Dentist 15510 Livernois Ave, Detroit, MI 48238-1343 2015-04-06
1659778348 General Dentistry Specialists, PC Dentist 15510 Livernois Ave, Detroit, MI 48238-1343 2014-11-25
1497180798 Odicare PC Dentist 15510 Livernois Ave, Detroit, MI 48238-1343 2013-09-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700372224 Cardinal Home Healthcare Group, LLC Home Health 3165 Oakman Boulvard, Detroit, MI 48238 2018-07-09
1063963684 Lydia Adkins Counselor 13505 Lasalle St, Apt 305, Detroit, MI 48238 2016-10-19
1750837324 A Plus Care Transportation LLC Clinic/Center 14586 Wisconsin, Detroit, MI 48238 2016-09-01
1518413756 Valarie Grayer - Felton Case Manager/Care Coordinator 15941 Fairfield St., Detroit, MI 48238 2016-08-28
1144773722 Juanna Cherise Hardaway Case Manager/Care Coordinator 1935 Pasadena, Detroit, MI 48238 2016-07-29
1336503556 Gladys S Chambers Home Health Aide 15473 Wisconsin, Detroit, MI 48238 2016-04-13
1891158788 Karla Gill Licensed Practical Nurse 153060 Wildemere, Detroit, MI 48238 2016-03-30
1790145548 Cecil Cosey IIi Psychologist 11000 W Micnichols, Detroit, MI 48238 2016-03-07
1508264102 Sav-med Pharmacy Inc Pharmacy 2645 West Davison, Detroit, MI 48238 2014-12-12
1760887020 Monument Dental PC Dentist 15510 Livernois Avenue, Detroit, MI 48238 2014-10-29
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528678687 Elmwood Park Dental Dentist 1547 E Lafayette St, Detroit, MI 48207-2958 2020-08-04
1205452786 Daniel Galvez Dentist 200 Riverfront Dr Apt 20f, Detroit, MI 48226-7598 2020-06-22
1669947107 Diamond Smiles Dentistry, PC Dentist 13334 E Jefferson Ave, Detroit, MI 48215-2719 2018-10-11
1053802629 Hussein Daher Dentist 6061 W Vernor Hwy Ste 1, Detroit, MI 48209-2085 2018-05-19
1497278287 Kamil Abraham Dentist 24366 Grand River Ave Ste 111, Detroit, MI 48219-3098 2017-07-24
1326561887 Nicholas Dipilla Dentist 1 Woodward Ave Ste 1625, Detroit, MI 48226-3422 2017-07-17
1164963401 Smile Fresh Detroit PC Dentist 7230 Gratiot Avenue, Detroit, MI 48213 2017-03-20
1164967469 Fady Sarkees Dentist 21427 Grand River Ave, Detroit, MI 48219-3896 2016-12-23
1538523477 Charnia Hall Dentist 4272 Saint Antoine St, Detroit, MI 48201-2108 2016-04-06
1093178378 Florence Koloko Dentist 250 E Harbortown Dr Apt 608, Detroit, MI 48207-5010 2016-04-03
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Competitor

Search similar providers

City DETROIT
Zip Code 48238

Improve Information

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Dataset Information

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.

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