TEAM DENTAL MANAGEMENT, LLC (NPI# 1255567681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255567681 |
| Entity Type | Organization |
| Organization Name | TEAM DENTAL MANAGEMENT, LLC |
| Practice Address |
30021 Greenfield Rd 1st Floor Southfield MI 48076-1524 |
| Mailing Address |
Po Box 1873 Birmingham MI 48012-1873 |
| Practice Telephone | 2487877070 |
| Mailing Telephone | 2487877070 |
| Mailing Fax Number | 2483532220 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-06-11 |
| Authorized Official Name | FADI NASSAR (MEMBER) |
| Authorized Official Telephone | 2487877070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
30021 GREENFIELD RD 1ST FLOOR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992755136 | Lynne Marie Moseley | Dentist | 30021 Greenfield Rd, Southfield, MI 48076-1509 | 2006-05-10 |
| 1609497403 | Domenick Hall | Dentist | 30021 Greenfield Rd, Southfield, MI 48076-1524 | 2020-05-03 |
| 1417309402 | Noor Mahjoub | Dentist | 30021 Greenfield Rd, Southfield, MI 48076-1524 | 2016-07-01 |
| 1215311063 | John Paul Hwang | Dentist | 30021 Greenfield Rd, Southfield, MI 48076-1524 | 2015-07-10 |
| 1780012476 | Shagundeep Octain | Dentist | 30021 Greenfield Rd, Southfield, MI 48076-1524 | 2013-10-16 |
| 1871838284 | Bright Side Dental Southfield Pllc | Dentist | 30021 Greenfield Rd, Southfield, MI 48076-1524 | 2012-12-11 |
| 1669538013 | Kochs Orthotic and Prosthetics | Durable Medical Equipment & Medical Supplies | 30021 Greenfield Rd, Suite 200, Southfield, MI 48076-1524 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847383 | Amazing Dental Southfield Pllc | Clinic/Center | 22972 Lahser Rd Ste 2, Southfield, MI 48033-4408 | 2020-09-23 |
| 1780299974 | George D. Najor Dds | Clinic/Center | 26776 W 12 Mile Rd Ste 103, Southfield, MI 48034-7807 | 2020-09-14 |
| 1730797556 | Diane I Hines Dds PC | Clinic/Center | 21500 W 11 Mile Rd, Southfield, MI 48076-3843 | 2020-07-17 |
| 1275018087 | Amazing Dental Pllc | Clinic/Center | 22972 Lahser Rd Ste 1, Southfield, MI 48033-4408 | 2018-09-27 |
| 1972026847 | James Watson Dds Pllc | Clinic/Center | 20307 W 12 Mile Rd Ste 106, Southfield, MI 48076-5407 | 2017-07-21 |
| 1417206947 | Southfield Dental Care P.C. | Clinic/Center | 26561 W. 12 Mile Rd. Ste. 105, Southfield, MI 48034 | 2012-08-30 |
| 1568072783 | Roy M Rosen Dds | Clinic/Center | 25511 Southfield Rd, Southfield, MI 48075-1856 | 2020-08-03 |
| 1659997716 | Michigan Family Dental Care | Clinic/Center | 26699 W 12 Mile Rd Ste 200, Southfield, MI 48034-7815 | 2020-06-24 |
| 1134755317 | Amazing Dental Pllc | Clinic/Center | 22972 Lahser Rd Ste 1, Southfield, MI 48033-4408 | 2020-03-19 |
| 1134576424 | Liv Dental, Pllc | Clinic/Center | 30003 Southfield Rd, Southfield, MI 48076-1433 | 2016-05-17 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
Please comment or provide details below to improve the information on TEAM DENTAL MANAGEMENT, LLC.
| 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.