KALISHA MCLENDON (NPI# 1649622937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649622937 |
| Entity Type | Individual |
| Full Name | KALISHA MCLENDON |
| Credential | DDS |
| Practice Address |
5716 Michigan Ave Detroit MI 48210-3039 |
| Mailing Address |
559 W Grand Blvd Detroit MI 48216-2200 |
| Practice Telephone | 3135543880 |
| Practice Fax Number | 3138993550 |
| Mailing Telephone | 3135540485 |
| Mailing Fax Number | 3132280283 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901021935 | MI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E. Medical Center Drive, Medinn C213, Spc 5831, Ann Arbor, MI 481095831 | 7349365950 | |
| 1700 Waterman St, Detroit, MI 482092022 | 3138411699 | 3135541918 |
| 20901 Moross Rd, Detroit, MI 482362058 | 3136262620 | 3136492195 |
| Street Address |
5716 MICHIGAN AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48210-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205827573 | Lisa J Mcintosh | Obstetrics & Gynecology | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2005-11-04 |
| 1891326625 | Gabriella Jamie Sanford | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2020-01-30 |
| 1972143782 | Joanna Veronica Dimas | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2020-01-09 |
| 1720621279 | Rachel Campbell | Nurse Practitioner | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-10-28 |
| 1326699752 | Carmensita J Buentello | Counselor | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-09-26 |
| 1316598329 | Disheka Denise Beverly-daniels | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-09-23 |
| 1912552449 | Katharine Nicole Marquez | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-08-01 |
| 1174183057 | Katherine Byl | Physician Assistant | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-06-13 |
| 1760955124 | Hawa A Haji-hassan | Student in an Organized Health Care Education/Training Program | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-01-09 |
| 1962975631 | Emma Jean Urbain | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942676150 | Audrey Hall | Case Manager/Care Coordinator | 6576 Woodrow St, Detroit, MI 48210 | 2015-08-12 |
| 1952705147 | Barbara Denise Mccowin-west | Technician, Other | 6900 Mcgraw, Detroit, MI 48210 | 2014-10-16 |
| 1922259456 | Dawn Marie Sanderson | Counselor | 5613 Livernois, Detroit, MI 48210 | 2008-10-02 |
| 1366552804 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndalestreet, Detroit, MI 48210 | 2006-08-30 |
| 1912950163 | Irwin Rabinowitz | Pharmacist | Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 | 2006-05-18 |
| 1538305909 | Barbara Ann Menzies-williams | Internal Medicine | 6550 W Warren Ave, Detroit, MI 48210 | 2009-01-06 |
| 1760678437 | Clement T Piaskowski | Optometrist | 7433 Michigan Ave, Detroit, MI 48210 | 2007-09-17 |
| 1083804173 | Detroit Medical Centre | General Acute Care Hospital | 4201 St. Antoine, Detroit, MI 48210 | 2007-07-26 |
| 1205030277 | Renaissance Dental PC | Dentist | 7330 W Warren Ave, Detroit, MI 48210-1041 | 2007-06-13 |
| Find all providers in zip 48210 | ||||
| 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 |
|---|---|---|---|---|
| 1578947784 | Hamza Belhaj | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-07-17 |
| 1669865069 | Siew-ging Gong | Dentist | 2681 W Grand Blvd, Detroit, MI 48208-1233 | 2015-03-09 |
| 1265830756 | Caring Dentistry of Detroit | Dentist | 1001 W 7 Mile Rd, Detroit, MI 48203-1929 | 2014-12-15 |
| 1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
| 1376981530 | Basam Shamo | Dentist | 3670 Woodward Ave Ste 101b, Detroit, MI 48201-2456 | 2013-06-10 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1245574854 | Merrill Lenore Perlow | Dentist | 2217 Springwells St, Detroit, MI 48209-1509 | 2012-11-20 |
| 1245598770 | Mohamed M Mansour | Dentist | 2700 Mlk Jr Blvd, University of Detroit Mercy,school of Dentistry, Detroit, MI 48208-2576 | 2012-05-03 |
| 1417223298 | Paula G Carson Dds PC | Dentist | 18616 W Mcnichols Rd, Detroit, MI 48219-4160 | 2012-03-27 |
| 1205103728 | Lauren Rush | Dentist | 60 E Warren Ave Fl 2, Detroit, MI 48201 | 2011-11-29 |
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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.