D2 DENTAL OF MICHIGAN, P.C. (NPI# 1588136667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588136667 |
| Entity Type | Organization |
| Organization Name | D2 DENTAL OF MICHIGAN, P.C. |
| Practice Address |
9115 Telegraph Rd Taylor MI 48180-2365 |
| Mailing Address |
137 N Oak Park Ave Ste 310 Oak Park IL 60301-1339 |
| Practice Telephone | 3139081788 |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2018-12-29 |
| Authorized Official Name | BORIS LABINOV (AGENT) |
| Authorized Official Telephone | 3124043975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962864470 | D2 Dental of Michigan, P.C. | Dentist | 16201 Ford Rd, Suite 115, Dearborn, MI 48126-2945 | 2016-03-23 |
| 1881056398 | D2 Dental of Michigan, P.C. | Dentist | 2279 N Park Dr, Suite 810, Holland, MI 49424-8547 | 2016-03-23 |
| 1548643406 | D2 Dental of Michigan, P.C. | Dentist | 1720 Lawndale Rd, Saginaw, MI 48638-4396 | 2015-07-09 |
| 1164827796 | D2 Dental of Michigan, P.C. | Dentist | 26113 Hoover Rd, Warren, MI 48089-1147 | 2014-10-24 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1710301783 | D2 Dental of Michigan, P.C. | Dentist | 2720 Washtenaw Rd, Ypsilanti, MI 48197-1506 | 2014-02-12 |
| 1437671799 | D2 Dental of Michigan, P.C. | Dentist | 14736 Mack Ave, Detroit, MI 48215-2524 | 2017-07-08 |
| 1073045985 | D2 Dental of Michigan, P.C. | Dentist | 21427 Grand River Ave, Suite 100, Detroit, MI 48219-3896 | 2017-03-30 |
| 1164972303 | D2 Dental of Michigan, P.C. | Dentist | 1101 E Walton Blvd, Suite 300, Pontiac, MI 48340-1591 | 2016-10-12 |
| Street Address |
9115 TELEGRAPH RD |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449265 | Shon Johnson | Dentist | 9115 Telegraph Rd, Taylor, MI 48180-2365 | 2020-02-17 |
| 1609420850 | Ishaan Patel | Dentist | 9115 Telegraph Rd, Taylor, MI 48180-2365 | 2019-07-26 |
| 1366002289 | Sailesh Ramalingam | Dentist | 9115 Telegraph Rd, Taylor, MI 48180-2365 | 2019-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| 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 |
|---|---|---|---|---|
| 1720443161 | Ace Dental03 PC | Dentist | 100 Carlos G. Parker Blvd, 110, Taylor, TX 76574 | 2015-12-30 |
| 1376820308 | Ted & Associate, PC | Dentist | 3705 N Main St # 200, Taylor, TX 76574-4981 | 2011-11-04 |
| 1821202649 | Mark Levin | Dentist | 8985 Telegraph Rd, Taylor, MI 48180-2366 | 2007-05-10 |
| 1710002712 | Steven Michael Polisuk | Dentist | 24459 Goddard Rd, Taylor, MI 48180-3933 | 2007-03-20 |
| 1528190204 | Jerry A Aronoff | Dentist | 22350 Wick Rd, Taylor, MI 48180-3607 | 2007-03-09 |
| 1497803522 | Arthur Sheldon Rocklin | Dentist | 21925 Van Born Rd, Taylor, MI 48180-1335 | 2007-01-08 |
| 1972683811 | Diane Mary Mclellan | Dentist | 20211 Ecorse Road, Taylor, MI 48180 | 2006-10-16 |
| 1861584054 | James C. Stewart | Dentist | 25721 Goddard Rd, Taylor, MI 48180-3974 | 2006-09-28 |
| 1508967829 | David Joel Berris | Dentist | 9310 Telegraph Rd, Taylor, MI 48180-3362 | 2006-09-26 |
| 1548283781 | Randy Thomas Fishman | Dentist | 23645 Goddard Rd, Taylor, MI 48180-4046 | 2006-07-26 |
| Find all providers in TAYLOR | ||||
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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.