DR. ANGELA MELODY-OSKA DOUGLAS D.D.S NPI 1043696552

NPI Information

  • NPI: 1043696552
  • Provider Name: DR. ANGELA MELODY-OSKA DOUGLAS, D.D.S
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2800 W GRAND BLVD FL 5
    DETROIT, MI
    ZIP 48202
  • Phone: (833) 663-7874

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NPI Details

DR. Angela Melody-oska Douglas, D.D.S is a general practice dentist in Detroit, MI with 11 years of experience. The provider is 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. DR. Angela Melody-oska Douglas, D.D.S NPI is 1043696552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Graduation Year:2015

The provider's business location address is:

2800 W GRAND BLVD FL 5
DETROIT, MI
ZIP 48202-610
Phone: (833) 663-7874
Fax: (313) 916-0874

The NPI 1043696552 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/6/2015 and was last updated on 11/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2901021696MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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