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HAMTRAMCK DENTAL CENTER NPI 1508974387


NPI Information

NPI: 1508974387
Provider Name: HAMTRAMCK DENTAL CENTER

Other Name: WILBERT PURIFOY OWNER

Classification: Dentist - 122300000X
Entity Type: Organization

CLIA Number: 23D1054583

Address:
9541 JOS CAMPALL
HAMTRAMCK DENTAL CENTER
HAMTRACK, MI
ZIP 48212
Phone: (313) 972-4700
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HAMTRAMCK DENTAL CENTER is a dentist in Hamtrack, MI. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. HAMTRAMCK DENTAL CENTER NPI is 1508974387. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wilbert Purifoy Owner.

The provider's business location address is:

9541 JOS CAMPALL
HAMTRAMCK DENTAL CENTER
HAMTRACK, MI
ZIP 48212
Phone: (313) 972-4700
Fax: (313) 972-1105

The provider's authorized official is Wilbert Purifoy .
The authorized official title is President Owner and has the following contact phone number (313) 972-4700.

The CLIA number assigned to this NPI record is 23D1054583 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist10915MICHIGANYes
2122300000XDentist13106NEW YORKX
3122300000XDentist17875MICHIGANX
41223X0400XDentistOrthodontics and Dentofacial Orthopedics17410MICHIGANX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110915OTHERPURIFOY
213106OTHERPAUL ONEILL
317470OTHERFRANK HARRIS
42744290MEDICAIDMICHIGAN
577875OTHERAHMED ALLAN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.