SHELIA Y KENNEBREW DDS., MS., PC (NPI# 1689043192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689043192 |
| Entity Type | Organization |
| Organization Name | SHELIA Y KENNEBREW DDS., MS., PC |
| Practice Address |
29556 Southfield Rd Suite 100 Southfield MI 48076-2021 |
| Practice Telephone | 2485521195 |
| Practice Fax Number | 2485520980 |
| Mailing Telephone | 2485521195 |
| Mailing Fax Number | 2485520980 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | DR. SHELIA YVETTE KENNEBREW HORTON (PERIODONTIST/OWNER) |
| Authorized Official Telephone | 2485521195 |
| Authorized Official Credential | DDS., MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D2901015296 | MI | Dental Providers |
| Street Address |
29556 SOUTHFIELD RD SUITE 100 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841282753 | Laynette Goudy-egger | Nurse Practitioner | 29556 Southfield Rd, Suite 200, Southfield, MI 48076-2021 | 2005-08-17 |
| 1770079394 | Anthony Darrell Bowens | Counselor | 29556 Southfield Rd, Southfield, MI 48076-2021 | 2018-07-06 |
| 1053804252 | Enid Mahasin Ali Reed | Counselor | 29556 Southfield Rd, Southfield, MI 48076-2021 | 2018-06-12 |
| 1457890014 | Healing Waters Counseling Services,pllc | Counselor | 29556 Southfield Rd, Southfield, MI 48076-2021 | 2017-02-15 |
| 1033660956 | Licensed Professional Counselor Institute | Counselor | 29556 Southfield Rd, Suite 200, Southfield, MI 48076-2021 | 2016-10-14 |
| 1124489026 | Dana Michelle Bell | Counselor | 29556 Southfield Rd, Suite 200, Southfield, MI 48076-2021 | 2016-03-19 |
| 1689046062 | Cheryl E Merchant | Counselor | 29556 Southfield Rd, Suite 200, Southfield, MI 48076-2021 | 2015-10-26 |
| 1639547409 | Eugenia Thompson | Counselor | 29556 Southfield Rd, Southfield, MI 48076-2021 | 2015-09-09 |
| 1649473786 | Larissa Barclay | Nurse Practitioner | 29556 Southfield Rd, Suite 200, Southfield, MI 48076-2021 | 2007-06-07 |
| 1477603587 | Morris E. Gales IIi Md | Nurse Practitioner | 29556 Southfield Rd, Suite 200, Southfield, MI 48076-2021 | 2007-01-11 |
| Find all providers in the same location | ||||
| 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 | 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 |
| 1801087085 | Joseph Ray Nemeth | Dentist | 29829 Telegraph Rd, Ste 111, Southfield, MI 48034-1330 | 2007-08-05 |
| 1649481755 | Anthony Leron Neely | Dentist | 23077 Greenfield Rd, Suite 285, Southfield, MI 48075-3709 | 2007-05-24 |
| 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 | 48076 |
Please comment or provide details below to improve the information on SHELIA Y KENNEBREW DDS., MS., PC.
| 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.