MICHIGAN FAMILY DENTISTRY, PLLC
Dentist (Pediatric Dentistry)

Address: 26699 W 12 Mile Rd Ste 200, Southfield, MI 48034-7815

MICHIGAN FAMILY DENTISTRY, PLLC (NPI# 1902389984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902389984
Entity Type Organization
Organization Name MICHIGAN FAMILY DENTISTRY, PLLC
Practice Address 26699 W 12 Mile Rd Ste 200
Southfield
MI 48034-7815
Practice Telephone 2486266526
Practice Fax Number 2486266529
Mailing Address 26699 W 12 Mile Rd Ste 200
Southfield
MI 48034-7815
Mailing Telephone 2486266526
Mailing Fax Number 2486266529
Certification Date 2021-03-04
Enumeration Date 2018-09-14
Last Update Date 2021-03-04
Authorized Official Telephone 2486266526
Authorized Official Credential DMD, MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
193200000X MULTI-SPECIALTY GROUP Dental Providers
Y 1223P0700X Dentist
Specialization: Prosthodontics
193200000X MULTI-SPECIALTY GROUP Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
193200000X MULTI-SPECIALTY GROUP Dental Providers
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
193200000X MULTI-SPECIALTY GROUP Dental Providers

Other Provider/Organization Names

Other Name Type Code
Amazing Smiles Doing Business As Name

Office Location

Street Address 26699 W 12 MILE RD STE 200
City SOUTHFIELD
State MI
Zip Code 48034-7815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194993428 Dental Rehab PC · Dental Rehabilitation Center Dentist - Prosthodontics 26699 W 12 Mile Rd Ste 200, Southfield, MI 48034-7815 2008-02-20
1821007923 Rami Jandali Dentist - Prosthodontics 26699 W 12 Mile Rd Ste 200, Southfield, MI 48034-7815 2006-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922154657 Fiziostim Rehabilitation LLC Physical Therapist 26699 W 12 Mile Rd Ste 202, Southfield, MI 48034-7815 2007-01-26

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1013378058 Orie Bryan Hopp Physical Therapist 29275 Northwestern Hwy Ste 150, Southfield, MI 48034 2016-03-18
1780219196 I. R. Horn & Associates LLC Community/Behavioral Health 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 2020-03-05
1003378753 Alexis Shivers Physical Therapy Assistant 27500 Lahser Rd, Southfield, MI 48034 2019-04-02
1598257768 El-Abbadi Pediatric Clinic Pediatrics 24676 Lahser Road, Southfield, MI 48034 2018-06-04
1720517113 Theramedic Home Health Care LLC · Theramedic Health Group LLC Home Health 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 2017-06-08
1063924819 Diagnostic Hematology, PC Clinical Medical Laboratory 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 2017-11-02
1992159297 Parrish Palliative and Hospice Care, LLC Hospice Care, Community Based 27177 Lahser Rd Ste 203a, Southfield, MI 48034 2016-04-22
1265956940 Abbadi Healthcare Pharmacy 27402 Lahser Road, Southfield, MI 48034 2017-08-03
1184140774 Physiofit Rehabilitation Services Pllc Clinic/Center - Physical Therapy 25899 W 12 Mile Rd Ste 120, Southfield, MI 48034 2017-08-16
1841721032 Alfreda Smith Registered Nurse - Psych/Mental Health, Child & Adolescent 29255 Laurel Woods Dr. Apt103, Southfield, MI 48034 2017-03-21
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093264731 Southfield Kids Dentist Plc Dentist - Pediatric Dentistry 18860 W 10 Mile Rd, Southfield, MI 48075-2666 2016-09-22
1164674776 Amy C Parker, D.d.s.,M.s Dentist - Pediatric Dentistry 16800 W 12 Mile Rd Ste 101, Southfield, MI 48076-6335 2008-10-14
1942628250 Maegan Elizabeth Daughtery Dentist - Pediatric Dentistry 16800 W 12 Mile Rd, Suite 101, Southfield, MI 48076-2108 2014-04-03
1639214935 Amy Parker Dentist - Pediatric Dentistry 16800 W 12 Mile Rd, Suite 101, Southfield, MI 48076-2108 2007-02-21
1518017789 Especially for Kids, P.C. Dentist - Pediatric Dentistry 25811 W 12 Mile Rd, Suite 202, Southfield, MI 48034 2007-01-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225602022 Childrens Dental Program Pllc Dentist - Pediatric Dentistry 22241 John R Rd, Hazel Park, MI 48030-1716 2021-05-17
1922696939 Riverview Pediatric Dental Care PC Dentist - Pediatric Dentistry 14525 Sibley Rd Ste 2, Riverview, MI 48193-7756 2021-01-05
1033717558 Discover Smiles Pediatric Dentistry Dentist - Pediatric Dentistry 2277 Science Pkwy Ste 2, Okemos, MI 48864-2551 2020-10-16
1295347805 Kerri S. Gustafson, Dds, Pllc, Dentistry for Children Dentist - Pediatric Dentistry 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 2020-08-17
1740898873 Megan E Stowers Dds Ms Plc Dentist - Pediatric Dentistry 7459 Middlebelt Rd Ste 1, West Bloomfield, MI 48322-4184 2020-07-15
1457914038 Mitten Kids Dentistry Caledonia Plc Dentist - Pediatric Dentistry 6477 Cherry Meadow Dr Se Ste 4, Caledonia, MI 49316-7351 2019-04-18
1710540398 Mitten Kids Dentistry Cascade Plc Dentist - Pediatric Dentistry 1179 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3682 2019-04-18
1861958944 Joseph C Tuazon Dds PC Dentist - Pediatric Dentistry 39242 Dequindre Rd Ste 107, Sterling Heights, MI 48310-1767 2019-02-14
1487128120 Dental Group Associates PC Dentist - Pediatric Dentistry 4505 Cascade Rd Se # B, Grand Rapids, MI 49546-8381 2019-01-16
1184194433 Pediatric Dental Specialists of West Michigan Dentist - Pediatric Dentistry 2155 E Paris Ave Se Ste 120, Grand Rapids, MI 49546-6142 2018-11-29
Find all providers in the same taxonomy

Competitor

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City SOUTHFIELD
Zip Code 48034

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NPI Name Taxonomy Address Enumeration
1093399156 Forest Family Dentistry, Pllc · Forest Family Dentistry North Dentist - General Practice 10721 Research Blvd Bldg B180, Austin, TX 78759-5694 2021-05-05
1518542760 Tullahoma Family Dentistry Pllc Dentist - General Practice 304 E Lincoln St, Tullahoma, TN 37388-3750 2021-03-09
1184215238 Lanigan Family Dentistry Pllc Dentist - General Practice 107 Stonewall Dr, Waynesboro, VA 22980-1526 2021-02-01
1922694223 Brue Family Dentistry, Pllc Clinic/Center - Dental 1010 N Narcoossee Rd, Saint Cloud, FL 34771-8779 2020-12-21
1336738384 Dyer Family Dentistry, Pllc Dentist - General Practice 5325 Dyer St, El Paso, TX 79904-6235 2021-01-14
1023600418 Ibrush Family Dentistry, Pllc Dentist - General Practice 3513 Mccart Ave Ste B, Fort Worth, TX 76110-4600 2021-02-07
1144804592 Althouse Family Dentistry Pllc Clinic/Center - Dental 337 Edwin Dr Ste 101, Virginia Bch, VA 23462-4560 2021-05-11
1760072193 Waterfront Family Dentistry Pllc Clinic/Center - Dental 5605 Fm 423 Ste 600, Frisco, TX 75036-8962 2021-01-20
1306426317 New Brighton Family Dentistry, Pllc Clinic/Center - Dental 2459 15th St Nw Ste C, New Brighton, MN 55112-5595 2021-04-13
1235717570 Gupta Family Dentistry Pllc Dentist 10 Assembly Dr Ste 101, Mendon, NY 14506-9604 2021-03-30

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Dataset Information

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.