ANTHONY LERON NEELY (NPI# 1649481755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649481755 |
| Entity Type | Individual |
| Full Name | ANTHONY LERON NEELY |
| Credential | D.D.S. |
| Practice Address |
23077 Greenfield Rd Suite 285 Southfield MI 48075-3709 |
| Mailing Address |
25570 Ranchwood Dr Farmington Hills MI 48335-1165 |
| Practice Telephone | 2483959800 |
| Practice Fax Number | 2483959778 |
| Mailing Telephone | 2484780543 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2009-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2901017558 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811421910 | Anthony Kyle Neely | Dentist | 6643 Hwy. 98, Hattiesburg, MS 39402-8442 | 2017-04-14 |
| Street Address |
23077 GREENFIELD RD SUITE 285 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036849 | Thomas M Flake Jr. | Surgery | 23077 Greenfield Rd, Suite 445, Southfield, MI 48075-3709 | 2005-10-10 |
| 1366976375 | Legarius | Internal Medicine | 23077 Greenfield Rd, Ste156, Southfield, MI 48075-3709 | 2017-04-17 |
| 1972954865 | Caitlyn Crawford | Nurse Anesthetist, Certified Registered | 23077 Greenfield Rd, Southfield, MI 48075-3709 | 2016-06-22 |
| 1154776003 | Karen Alyse Waldrop | Counselor | 23077 Greenfield Rd, Suite 430, Southfield, MI 48075-3709 | 2016-04-28 |
| 1336510072 | Nephro-care Md Plc | Internal Medicine | 23077 Greenfield Rd, Suite 479, Southfield, MI 48075-3709 | 2015-10-07 |
| 1063880359 | Gasper Novara | Social Worker | 23077 Greenfield Rd, #430, Southfield, MI 48075-3709 | 2015-09-03 |
| 1235513623 | Greenfield Medical Orthopedic Pllc | Clinic/Center | 23077 Greenfield Rd, Suite 159, Southfield, MI 48075-3709 | 2015-07-15 |
| 1649651332 | Comprehensive Clinical Neurology | Specialist | 23077 Greenfield Rd, 222, Southfield, MI 48075-3709 | 2015-06-18 |
| 1548640766 | Pilltalk Pharmacy | Pharmacy | 23077 Greenfield Rd, 220, Southfield, MI 48075-3709 | 2015-06-03 |
| 1679987424 | Infectious Diseases Consultants of Detroit PC | Internal Medicine | 23077 Greenfield Rd, Suite 479, Southfield, MI 48075-3709 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003976184 | Donald Boyd Sherman | Dentist | 28365 Tavistock Trl, Southfield, MI 48034-5185 | 2006-12-11 |
| 1023045960 | James E Austin | Dentist | 26211 Central Park, #204, Southfield, MI 48076 | 2006-06-27 |
| 1659875144 | Southfield Gum Docs, LLC | Dentist | 18860 W 10 Mile Rd, Southfield, MI 48075-2666 | 2018-03-20 |
| 1689043192 | Shelia Y Kennebrew Dds., Ms., PC | Dentist | 29556 Southfield Rd, Suite 100, Southfield, MI 48076-2021 | 2015-09-15 |
| 1801087085 | Joseph Ray Nemeth | Dentist | 29829 Telegraph Rd, Ste 111, Southfield, MI 48034-1330 | 2007-08-05 |
| 1114062767 | Joseph R. Nemeth, Dds, PC | Dentist | 29829 Telegraph Rd, Ste 111, Southfield, MI 48034-7655 | 2007-02-21 |
| 1245375724 | Robert Becker | Dentist | 29829 Telegraph Rd, Ste 111, Southfield, MI 48034 | 2007-02-21 |
| 1558465971 | Shelia Yvette Kennebrew Horton | Dentist | 29556 Southfield Rd, Suite 100, Southfield, MI 48076-2021 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352175 | Khaled Sinjab | Dentist | 8641 W Grand River Ave Ste 8, Brighton, MI 48116-4330 | 2020-09-25 |
| 1174134605 | Bay Periodontics | Dentist | 1666 Towsley Ln, Ann Arbor, MI 48105-9336 | 2020-08-10 |
| 1699309500 | Ann Arbor Periodontics | Dentist | 2715 Packard St Ste C, Ann Arbor, MI 48108-3365 | 2020-02-29 |
| 1679044192 | David I Lipton D.d.s., M.s. | Dentist | 50 W Big Beaver Rd Ste 150, Bloomfield Hills, MI 48304-3911 | 2018-12-10 |
| 1326576646 | Thomas James Fleszar | Dentist | 1175 Harrow Cir, Bloomfield Hills, MI 48304-3922 | 2017-05-31 |
| 1386185445 | Khairunnisa Quraishi Dds PC | Dentist | 37184 Dequindre Rd, Sterling Heights, MI 48310-3536 | 2017-03-09 |
| 1578002812 | Michigan Periodontics Group LLC | Dentist | 350 N Main St Ste 110, Chelsea, MI 48118-1486 | 2017-02-20 |
| 1518410836 | Mohamed Elazhri | Dentist | 27200 Parkview Blvd Apt 901, Warren, MI 48092-2820 | 2016-08-03 |
| 1316314834 | Whitney Dunn Weiner | Dentist | 2425 E Lincoln St, Suite 100, Birmingham, MI 48009-7100 | 2015-09-01 |
| 1639569684 | Divine Family Denistry | Dentist | 27845 Gratiot Ave, Roseville, MI 48066-4848 | 2015-01-29 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.