JANE L WATKO DDS PLC (NPI# 1639382450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639382450 |
| Entity Type | Organization |
| Organization Name | JANE L WATKO DDS PLC |
| Practice Address |
20307 W 12 Mile Rd Ste #106 Southfield MI 48076-5407 |
| Mailing Address |
25994 Elwell Rd Belleville MI 48111-9609 |
| Practice Telephone | 2483538860 |
| Practice Fax Number | 2483538859 |
| Mailing Telephone | 5862925703 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JANE L WATKO (DENTIST OWNER) |
| Authorized Official Telephone | 2483538860 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901015874 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4232353 | 05 |
| Street Address |
20307 W 12 MILE RD STE #106 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760459994 | Saul Israel Weingarden | Physical Medicine & Rehabilitation | 20307 W 12 Mile Rd, Ste. 104, Southfield, MI 48076-5407 | 2006-03-07 |
| 1275892176 | L. Dizon, M.d. P.C. | Internal Medicine | 20307 W 12 Mile Rd, Suite 102, Southfield, MI 48076-5407 | 2012-05-11 |
| 1730456765 | Stacey J Francis Pllc | Chiropractor | 20307 W 12 Mile Rd, Southfield, MI 48076-5407 | 2011-11-18 |
| 1043496250 | Physical Medicine, P.C. | Physical Medicine & Rehabilitation | 20307 W 12 Mile Rd, Ste. 102, Southfield, MI 48076-5407 | 2008-01-17 |
| 1588847065 | Saul Weingarden Md Pllc | Physical Medicine & Rehabilitation | 20307 W 12 Mile Rd, Suite 104, Southfield, MI 48076-5407 | 2007-12-07 |
| 1487727178 | Stacey Jeanne Francis | Chiropractor | 20307 W 12 Mile Rd, Suite 105, Southfield, MI 48076-5407 | 2006-11-17 |
| 1124068903 | Sarada Gullapalli | Internal Medicine | 20307 W 12 Mile Rd, Suite 101, Southfield, MI 48076-5407 | 2006-06-08 |
| 1851341549 | Lourdes Plenos Dizon | Internal Medicine | 20307 W 12 Mile Rd, Southfield, MI 48076-5407 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608712 | Kristen Nicolette Taylor | Dentist | 30525 Old Stream Cir, Southfield, MI 48076-5332 | 2019-06-18 |
| 1306258280 | Cory Fortson | Dentist | 17600 W 12 Mile Rd Ste 3, Southfield, MI 48076-1910 | 2014-05-27 |
| 1003239856 | Rana Adel Rabban | Dentist | 26561 W12 Mile Rd., Suite 105, Southfield, MI 48034 | 2014-01-30 |
| 1336582162 | Neena Leverenz | Dentist | 25865 W 12 Mile Rd # D1, Southfield, MI 48034-1817 | 2013-04-11 |
| 1174852438 | Jay K Patel | Dentist | 25775 W 10 Mile Rd Ste 104, Southfield, MI 48033-4856 | 2009-12-16 |
| 1104067644 | Southfield Dental Pllc | Dentist | 17600 W 12 Mile Rd, Suite 3, Southfield, MI 48076-1910 | 2009-03-12 |
| 1881859239 | Wolverine Cosmetic Dental L.l.c | Dentist | 17070 W. 12 Mile Rd, C, Southfield, MI 48076-2116 | 2008-07-25 |
| 1548432990 | George D Najor | Dentist | 26776 W 12 Mile, Southfield, MI 48034 | 2008-03-26 |
| 1386814077 | James D Kohler Dds PC | Dentist | 20411 W 12 Mile, Suite 102, Southfield, MI 48076-6404 | 2008-03-10 |
| 1184807711 | Neelima Katta | Dentist | 21700 Colony Park Cir Apt 205, Southfield, MI 48076-1682 | 2007-12-05 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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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.