DR. BENJAMIN JOHN CZERNIAWSKI (NPI# 1154420644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154420644 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN JOHN CZERNIAWSKI |
| Credential | DDS MS |
| Practice Address |
20323 Mack Avenue Grosse Pointe Woods MI 48236 |
| Practice Telephone | 3138810077 |
| Practice Fax Number | 3138812561 |
| Mailing Telephone | 3138810077 |
| Mailing Fax Number | 3138812561 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
13132 | MI | Dental Providers |
| Street Address |
20323 MACK AVENUE |
| City | GROSSE POINTE WOODS |
| State | MI |
| Zip Code | 48236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285770057 | Robert Bruce Stewart | Dentist | 19635 Mack Ave, Grosse Pointe Woods, MI 48236 | 2007-01-29 |
| 1376653949 | Michael Linebaugh | Dentist | 696 Lochmoor Blvd, Grosse Pointe Woods, MI 48236-1752 | 2006-08-30 |
| 1982846689 | Robert B. Stewart, Dds, Ms, PC | Dentist | 19635 Mack Ave, Grosse Pointe Woods, MI 48236-2535 | 2009-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247803 | Neil L Matthews Dds PC | Dentist | 305 Barclay Cir Ste 1004, Rochester Hills, MI 48307-4572 | 2020-02-20 |
| 1336672831 | Jennifer Moeller | Dentist | 31410 Northwestern Hwy Ste E, Farmington Hills, MI 48334-2563 | 2017-04-11 |
| 1780040998 | Minaal Verma | Dentist | 41980 Manor Park Dr, Apt 122, Novi, MI 48375-2775 | 2016-01-05 |
| 1750638995 | David Lawrence Aitken | Dentist | 2021 Timber Point Dr Se, Ada, MI 49301-8323 | 2012-08-07 |
| 1184987075 | Yasser Alali | Dentist | 430 North Telegraph Road, Dearborn, MI 48128 | 2012-06-17 |
| 1013216639 | Prosthetic and Implants Dentistry PC | Dentist | 1206 S Washington Ave, Royal Oak, MI 48067-3222 | 2011-03-22 |
| 1710130174 | Andrew Koran IIi | Dentist | 7346 Park Lake Dr, Dexter, MI 48130-9616 | 2008-10-29 |
| 1225203714 | William H Roedema | Dentist | 3739 Basswood Dr Sw, Grandville, MI 49418-2003 | 2008-04-25 |
| 1679747455 | Michael P. Girskis | Dentist | 37667 Pembroke Ave, Livonia, MI 48152 | 2008-04-14 |
| 1417121294 | Stephen J. Riedy | Dentist | 31544 Schoolcraft Rd, Livonia, MI 48150-1805 | 2008-04-14 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE WOODS |
| Zip Code | 48236 |
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| 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.