LIVERNOIS DENTAL CARE PLLC (NPI# 1619533171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619533171 |
| Entity Type | Organization |
| Organization Name | LIVERNOIS DENTAL CARE PLLC |
| Practice Address |
17170 Livernois Ave Detroit MI 48221-3028 |
| Practice Telephone | 3133409709 |
| Practice Fax Number | 3133979245 |
| Mailing Telephone | 3133409709 |
| Mailing Fax Number | 3133979245 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Authorized Official Name | LISA ANN CHISELOM (OFFICE MANAGER) |
| Authorized Official Telephone | 3139770255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
17170 LIVERNOIS AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48221-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225584758 | Park Dental Service, P.C. | Clinic/Center | 18935 Grand River Ave, Detroit, MI 48223-2273 | 2016-08-25 |
| 1346610268 | Dr. Robert P. Dipilla and Associates, PC | Clinic/Center | 1 Woodward Ave, 1625, Detroit, MI 48226-3430 | 2015-10-05 |
| 1073852091 | Community Dental Center Pllc | Clinic/Center | 4000 Miller St, Detroit, MI 48211-1555 | 2013-02-11 |
| 1912255928 | Smiles of Tomorrow, P.C. | Clinic/Center | 645 Griswold St, St 224, Detroit, MI 48226-4105 | 2012-08-22 |
| 1528139540 | Dental Care Management, Inc. | Clinic/Center | 15311 W Mcnichols Rd, Detroit, MI 48235-3723 | 2006-11-13 |
| 1972516615 | Edward G Kroll,dds and Associates, PC | Clinic/Center | 3704 E 8 Mile Rd, Detroit, MI 48234-1007 | 2006-08-14 |
| 1497355739 | Stephen J Krawiec Ddspc | Clinic/Center | 18400 Grand River Ave, Detroit, MI 48223-2317 | 2020-10-27 |
| 1417560657 | Alan R. Faber Jr. Dds PC | Clinic/Center | 8191 E Jefferson Ave, Detroit, MI 48214-2610 | 2020-08-27 |
| 1972111672 | Sarmed Hanna Dental Pllc | Clinic/Center | 18525 Moross Rd, Detroit, MI 48224-1019 | 2020-07-20 |
| 1932731114 | Just Right Smiles LLC | Clinic/Center | 11200 E Mcnichols Rd, Detroit, MI 48234-3929 | 2020-02-06 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on LIVERNOIS DENTAL CARE PLLC.
| 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.