Provider Type Icon

ADVANCE DENTAL GROUP P.C. NPI 1750597894


NPI Information

NPI: 1750597894
Provider Name: ADVANCE DENTAL GROUP P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
33466 W 8 MILE RD
SUITE333
FARMINGTON HILLS, MI
ZIP 48335
Phone: (248) 442-2273
Get Directions

ADVANCE DENTAL GROUP P.C. is a general practice dentist in Farmington Hills, 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. ADVANCE DENTAL GROUP P.C. NPI is 1750597894. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

33466 W 8 MILE RD
SUITE333
FARMINGTON HILLS, MI
ZIP 48335-208
Phone: (248) 442-2273
Fax: (242) 442-9499

The provider's authorized official is Abraham L Azzouz .
The authorized official title is Dentist and has the following contact phone number (248) 442-2273.

The enumeration date for this NPI number is 5/15/2007 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
11223G0001XDentistGeneral Practice2901015675MICHIGANYes
2124Q00000XDental HygienistX

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
1D15675OTHERMICHIGANBCBS

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.