REDWOOD DENTAL GROUP TROY (NPI# 1568667889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568667889 |
| Entity Type | Organization |
| Organization Name | REDWOOD DENTAL GROUP TROY |
| Practice Address |
111 E Long Lake Rd Troy MI 48085-5524 |
| Practice Telephone | 2488792300 |
| Practice Fax Number | 2488794930 |
| Mailing Telephone | 2488792300 |
| Mailing Fax Number | 2488794930 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VALERIE MUELLER (MANAGER) |
| Authorized Official Telephone | 2488792300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
MI | Dental Providers |
| Street Address |
111 E LONG LAKE RD |
| City | TROY |
| State | MI |
| Zip Code | 48085-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336590223 | Adam Hassan | Dentist | 111 E Long Lake Rd, Troy, MI 48085-5524 | 2016-06-22 |
| 1427406602 | Brian Schmitz | Dentist | 111 E Long Lake Rd, Troy, MI 48085-5524 | 2016-05-29 |
| 1467834606 | Lauren Marie Johnson | Dentist | 111 E Long Lake Rd, Troy, MI 48085-5524 | 2015-06-24 |
| 1982923074 | Hannah Noelle Bahlhorn | Dentist | 111 E Long Lake Rd, Troy, MI 48085-5524 | 2010-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| 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.