DEARBORN DENTAL GROUP WEST (NPI# 1790349058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790349058 |
| Entity Type | Organization |
| Organization Name | DEARBORN DENTAL GROUP WEST |
| Practice Address |
25245 Ford Rd Dearborn MI 48128-1050 |
| Practice Telephone | 3135843210 |
| Mailing Telephone | 3135843210 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Authorized Official Name | MS. DALAL ELACHI (MANAGER) |
| Authorized Official Telephone | 3135843210 |
| 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 | NPPES | 1255577409 | 01 |
| Street Address |
25245 FORD RD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48128-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467942219 | Mahmoud Farhat | Dentist | 18590 Outer Dr, Dearborn, MI 48128 | 2018-05-17 |
| 1730607474 | Gentle Hands Direct Care Services, Inc. | Chore Provider | 6659 Schaefer Hwy, Ste. 103, Dearborn, MI 48128 | 2017-09-01 |
| 1396095824 | Corey S. Farber, Pllc | Dentist | 23919 Ford Road, Dearborn, MI 48128 | 2012-09-12 |
| 1184987075 | Yasser Alali | Dentist | 430 North Telegraph Road, Dearborn, MI 48128 | 2012-06-17 |
| 1841573425 | Apple Transportation LLC | Non-emergency Medical Transport (VAN) | 2000 Lafayette, Dearborn, MI 48128 | 2011-09-21 |
| 1407150295 | Dustin Marsh | Psychologist | 19044 Outer Dr, Dearborn, MI 48128 | 2011-01-07 |
| 1619205028 | Michigan-greenfield Urgent Care Pllc | Clinic/Center | 24355 Ford Rd, Dearborn, MI 48128 | 2009-11-23 |
| 1295905065 | Julius Frank Chikos | Dentist | 21775 Wildwood Street, Dearborn, MI 48128 | 2008-03-07 |
| 1003974155 | Walter Knysz Jr. | Dentist | 23401 Ford Road, Dearborn, MI 48128 | 2006-12-04 |
| 1902983703 | Fadi Ahmad Sobh | Pharmacist | 1745 N Silvery Ln, Dearborn, MI 48128 | 2006-11-01 |
| Find all providers in zip 48128 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1982236790 | Oakwood Dental Pllc | Clinic/Center | 18181 Oakwood Blvd Ste 103, Dearborn, MI 48124-4082 | 2020-02-10 |
| 1366091027 | Edward G Sarkisian Dds PC | Clinic/Center | 22190 Garrison St Ste 201, Dearborn, MI 48124-2235 | 2019-09-05 |
| 1033565809 | Yaser Shaheen D.m.d Pllc | Clinic/Center | 5728 Schaefer Rd Ste 203, Dearborn, MI 48126-2287 | 2016-05-10 |
| 1184922122 | Artistic Dentistry | Clinic/Center | 5005 Schaefer Rd, Dearborn, MI 48126-3252 | 2011-02-28 |
| 1558582841 | Marianne L Baran Dds PC | Clinic/Center | 23100 Cherryhill Rd, Suite 1, Dearborn, MI 48124-1493 | 2007-05-02 |
| 1912953779 | Newman Family Dental Center | Clinic/Center | 3733 S Telegraph Rd, Dearborn, MI 48124-3286 | 2006-05-25 |
| 1558329490 | Contemporary Dentistry P.C. | Clinic/Center | 5211 Schaefer Rd, Suite 100, Dearborn, MI 48126-3229 | 2006-05-02 |
| 1659849321 | Shaheen Dentistry | Clinic/Center | 5728 Schaefer Rd Ste 203, Dearborn, MI 48126-2287 | 2018-11-10 |
| 1285091413 | Giza & Associates Dds Pllc | Clinic/Center | 15101 Ford Rd, Dearborn, MI 48126-4611 | 2016-01-19 |
| Find all providers in DEARBORN | ||||
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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.