COSMETIC DENTISTRY INSTITUTE (NPI# 1528131364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528131364 |
| Entity Type | Organization |
| Organization Name | COSMETIC DENTISTRY INSTITUTE |
| Practice Address |
3415 Livernois Rd Troy MI 48083-5063 |
| Practice Telephone | 2485191919 |
| Practice Fax Number | 2485191920 |
| Mailing Telephone | 2485191919 |
| Mailing Fax Number | 2485191920 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-08-27 |
| Authorized Official Name | DR. CRAIG P GOLDIN (VICE PRESIDENT OWNER) |
| Authorized Official Telephone | 2485191919 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
3415 LIVERNOIS RD |
| City | TROY |
| State | MI |
| Zip Code | 48083-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417220096 | David Patrick Whalen | Dentist | 3415 Livernois Rd, Troy, MI 48083-5063 | 2012-02-13 |
| 1720153778 | Nolka Condis Bieszki | Dentist | 3415 Livernois Rd, Troy, MI 48083-5063 | 2006-11-22 |
| 1003981424 | Craig P Goldin | Dentist | 3415 Livernois Rd, Troy, MI 48083-5063 | 2006-11-21 |
| 1063587491 | Marcy Goldin | Dentist | 3415 Livernois Rd, Troy, MI 48083-5063 | 2006-11-21 |
| 1700951134 | Amy B Carlino | Dentist | 3415 Livernois Rd, Troy, MI 48083-5063 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| 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 |
|---|---|---|---|---|
| 1952924508 | Elizabeth Ann Francis | Dentist | 1930 Prime Ct Ste 101, Troy, OH 45373-8899 | 2020-05-18 |
| 1720621659 | Ao of Troy Pllc | Dentist | 363 W Big Beaver Rd Ste 225, Troy, MI 48084-5242 | 2019-10-23 |
| 1114481678 | Brown Dental Associates Pllc | Dentist | 2025 W Long Lake Rd Ste 110, Troy, MI 48098-4100 | 2019-01-29 |
| 1275008633 | Yan Liang | Dentist | 1355 Peachtree Dr, Troy, MI 48083-5345 | 2018-10-11 |
| 1629591441 | Dina Gianchandani | Dentist | 500 Federal St Ste 300, Troy, NY 12180-2832 | 2017-07-24 |
| 1467999664 | Shirin Fakhri D.d.s. P.C. | Dentist | 2885 E Long Lake Rd, Troy, MI 48085-4100 | 2017-01-25 |
| 1437601283 | Gateway Dental Group, LLC | Dentist | 606 Edwardsville Road, Troy, IL 62294 | 2016-10-27 |
| 1154720191 | Judith A. Purcell | Dentist | 721 Hoosick Road, Troy, NY 12180 | 2014-08-15 |
| 1194133439 | Krupa Patel | Dentist | 3970 Stone Haven Dr, Troy, MI 48084-1510 | 2014-07-30 |
| 1063713246 | Troy Family Dentistry, LLC | Dentist | 128 Professional Parkway, Troy, MO 63379 | 2010-11-04 |
| Find all providers in TROY | ||||
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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.