DCP OF MICHIGAN (TROY), P.C. (NPI# 1922079227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922079227 |
| Entity Type | Organization |
| Organization Name | DCP OF MICHIGAN (TROY), P.C. |
| Other Organization Name | DENTALWORKS OF ROYAL OAK |
| Practice Address |
30760 Woodward Ave. Royal Oak MI 48073 |
| Mailing Address |
7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 |
| Practice Telephone | 2485490898 |
| Practice Fax Number | 2165841040 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | RACHEL NITTINGER (MANAGER CREDENTIALING) |
| Authorized Official Telephone | 9727550816 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTALONE PARTNERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| DentalWorks of Royal Oak | Doing Business As Name - Organization |
| Street Address |
30760 WOODWARD AVE. |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| 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 |
|---|---|---|---|---|
| 1366051146 | Taesu Pak | Dentist | 1524 Maryland Club Dr, Royal Oak, MI 48067-3392 | 2020-07-28 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1053860627 | Johnson and Trang Dental, PC | Dentist | 628 N Gainsborough Ave, Royal Oak, MI 48067-1939 | 2016-09-23 |
| 1952850737 | Scott Stinnet | Dentist | 1406 N Maple Ave, Royal Oak, MI 48067-4313 | 2016-09-22 |
| 1417243965 | Dolores J. Baran D.d.s., P.C. | Dentist | 1103 N Main Street Suite A, Royal Oak, MI 48067 | 2011-06-23 |
| 1588957799 | Chady Ahmed Elhage | Dentist | 4251 Coolidge Hwy, Royal Oak, MI 48073-1639 | 2011-05-20 |
| 1336396167 | Nancy Elizabeth Hartrick | Dentist | 32609 Woodward Ave, Royal Oak, MI 48073-0952 | 2008-08-22 |
| 1689894388 | Terrance Henry Moore Sr. | Dentist | 28926 Woodward Ave, Royal Oak, MI 48067-0942 | 2007-04-26 |
| 1932226065 | Rachel Carrie Woll | Dentist | 312 E 3rd St, Royal Oak, MI 48067-2726 | 2007-03-23 |
| 1992838379 | Susan Renusch | Dentist | 30301 Woodward Ave Ste 220, Royal Oak, MI 48073-0982 | 2007-03-14 |
| Find all providers in ROYAL OAK | ||||
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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.