D2 DENTAL OF MICHIGAN (NPI# 1821420043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821420043 |
| Entity Type | Organization |
| Organization Name | D2 DENTAL OF MICHIGAN |
| Practice Address |
1074 Jackson Xing Jackson MI 49202-2039 |
| Mailing Address |
137 N Oak Park Ave Suite 302a Oak Park IL 60301-1344 |
| Practice Telephone | 5178410000 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | MR. BORIS LABINOV (AGENT) |
| Authorized Official Telephone | 7083864800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982960894 | D2 Dental of Michigan | Dentist | 1124 28th St Sw, Suite 38a, Wyoming, MI 49509-2855 | 2012-04-04 |
| 1073951547 | D2 Dental of Michigan | Dentist | 5601 S Cedar St, Lansing, MI 48911-3810 | 2013-06-06 |
| Street Address |
1074 JACKSON XING |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396182259 | Laith Saadi Alsamerai | Dentist | 1074 Jackson Xing, Jackson, MI 49202-2039 | 2013-05-31 |
| 1326664970 | Fowad Shariff | Dentist | 1074 Jackson Xing, Jackson, MI 49202-2039 | 2020-06-19 |
| 1639793805 | Devi Janani Vijaya Raghavan | Dentist | 1074 Jackson Xing, Jackson, MI 49202-2039 | 2020-06-03 |
| 1184247280 | Neha Vazirani | Dentist | 1074 Jackson Xing, Jackson, MI 49202-2039 | 2020-05-22 |
| 1730671306 | Ke Wang | Dentist | 1074 Jackson Xing, Jackson, MI 49202-2039 | 2018-05-30 |
| 1548787997 | Rami Khalil | Dentist | 1074 Jackson Xing, Jackson, MI 49202-2039 | 2017-08-26 |
| 1427574482 | Evan Joseph Kowalski | Dentist | 1074 Jackson Xing, Jackson, MI 49202-2039 | 2017-08-21 |
| 1356862593 | Priyanka Seeram | Dentist | 1074 Jackson Xing, Jackson, MI 49202-2039 | 2017-06-28 |
| 1962803783 | Kounghae Cheon | Dentist | 1074 Jackson Xing, Jackson, MI 49202-2039 | 2014-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584952 | Katherine Olivia Hughes | Dentist | 1189 Vann Dr, Jackson, TN 38305-6098 | 2020-07-01 |
| 1144845991 | Gregory Derrick Meredith | Dentist | 190 Water St Ste 2, Jackson, OH 45640-1384 | 2020-06-08 |
| 1033771852 | Robert E Scheddin | Dentist | 2046 W County Line Rd Ste 2, Jackson, NJ 08527-2034 | 2019-07-01 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1780145912 | Dr Lashawn Steptoe Family Dentistry | Dentist | 500 E Woodrow Wilson Ave Ste N, Jackson, MS 39216-4538 | 2019-03-29 |
| 1720571334 | Christina Holy Mcrae | Dentist | 3000 Old Canton Rd Ste 515, Jackson, MS 39216-4235 | 2018-06-08 |
| 1275024192 | Brianne Elizabeth Mezo | Dentist | 1500 W Parnall Rd, Jackson, MI 49201-8660 | 2018-05-26 |
| 1407343254 | West Tennessee Dentistry Pllc | Dentist | 1108 Whitehall St, Jackson, TN 38301-3730 | 2018-04-17 |
| 1073014338 | Helping Hands of Middle & West Tennessee | Dentist | 1408 N Highland Ave Ste 101, Jackson, TN 38301-3450 | 2018-02-22 |
| 1942730429 | Patrice Nicole Griffith | Dentist | 1189 E County Line Rd Ste 1010, Jackson, MS 39211-1836 | 2017-06-15 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on D2 DENTAL OF MICHIGAN.
| 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.