TROY COSMETIC AND IMPLANT DENTAL CENTER PLLC (NPI# 1700484375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700484375 |
| Entity Type | Organization |
| Organization Name | TROY COSMETIC AND IMPLANT DENTAL CENTER PLLC |
| Practice Address |
4770 Rochester Rd Ste 106 Troy MI 48085-4951 |
| Practice Telephone | 2485283518 |
| Mailing Telephone | 2485283518 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | RAMI ESSAK (OWNER/DENTIST) |
| Authorized Official Telephone | 2485283518 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1073997441 | 05 |
| Other Name | Type Code |
|---|---|
| Troy Smiles Cosmetic and Implant Dental Center | Doing Business As Name - Organization |
| Street Address |
4770 ROCHESTER RD STE 106 |
| City | TROY |
| State | MI |
| Zip Code | 48085-4951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176574 | Glowing Smiles Dental Pllc | Clinic/Center | 1551 W Big Beaver Rd Ste D14, Troy, MI 48084-3528 | 2020-08-28 |
| 1437326469 | Bryan F. Harju, Dmd Inc. | Clinic/Center | 435 Trade Sq W, Troy, OH 45373-2461 | 2008-05-08 |
| 1760012371 | Nexus Dental | Clinic/Center | 42 4th St, Troy, NY 12180-3203 | 2020-01-22 |
| 1770122194 | Market Street Family Dentist, PC | Clinic/Center | 212 E Market St, Troy, IL 62294-1512 | 2020-01-02 |
| 1841768975 | Hanser Dental, LLC | Clinic/Center | 334 Bargraves Blvd, Troy, IL 62294-2304 | 2018-11-07 |
| 1306334503 | Ansari Dental of Troy Pllc | Clinic/Center | 3962 Rochester Rd, Troy, MI 48083-5248 | 2018-04-24 |
| 1477911832 | Shanna Mcgettrick Dds,pc | Clinic/Center | 6804 Meadow Ct, Troy, MI 48098-2032 | 2016-02-01 |
| 1215392998 | Dentists R Us | Clinic/Center | 38865 Dequindre Rd Ste 105, Troy, MI 48083-6812 | 2015-12-22 |
| 1437559739 | Kerry J Brown, Dds | Clinic/Center | 2025 W Long Lake Rd, Suite 110, Troy, MI 48098-4100 | 2014-08-25 |
| 1477898187 | Troy Dental PC | Clinic/Center | 5 Broadway, Suite# 201, Troy, NY 12180-3226 | 2012-12-06 |
| Find all providers in TROY | ||||
Please comment or provide details below to improve the information on TROY COSMETIC AND IMPLANT DENTAL CENTER 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.