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MY FAMILY DENTAL PLLC NPI 1548612872


NPI Information

NPI: 1548612872
Provider Name: MY FAMILY DENTAL PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
626 N CROOKS RD
CLAWSON, MI
ZIP 48017
Phone: (586) 939-7788
Get Directions

MY FAMILY DENTAL PLLC is a general practice dentist in Clawson, MI. 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. MY FAMILY DENTAL PLLC NPI is 1548612872. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

626 N CROOKS RD
CLAWSON, MI
ZIP 48017-310
Phone: (586) 939-7788
Fax: (586) 303-0053

The provider's authorized official is Nabih Kizy .
The authorized official title is Manager and has the following contact phone number (586) 939-7788.

The enumeration date for this NPI number is 7/11/2016 and was last updated on 7/11/2016.


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
11223G0001XDentistGeneral Practice2901018613MICHIGANYes

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
10OTHERMICHIGAN0

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

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