TMJ & SLEEP THERAPY CENTRE OF MACOMB COUNTY, PLLC (NPI# 1366904708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366904708 |
| Entity Type | Organization |
| Organization Name | TMJ & SLEEP THERAPY CENTRE OF MACOMB COUNTY, PLLC |
| Practice Address |
50475 Gratiot Suite 4 Chesterfield MI 48051 |
| Practice Telephone | 5869495363 |
| Mailing Telephone | 5869495363 |
| Mailing Fax Number | 5869495366 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | DR. ROMAN SADIKOFF (OWNER) |
| Authorized Official Telephone | 5869495363 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | TMJ & SLEEP THERAPY CENTRE OF MACOMB COU |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| TMJ & Sleep Therapy Centre | Doing Business As Name - Organization |
| Street Address |
50475 GRATIOT SUITE 4 |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629268800 | Connie M Fuller | Physical Therapist | 50475 Gratiot, Suite B Physical Therapy Professionals PC, Chesterfield, MI 48051-3128 | 2007-07-25 |
| 1790059483 | Carol Ann Wasilco | Occupational Therapist | 50475 Gratiot, Chesterfield, MI 48051 | 2012-02-28 |
| 1952592933 | Julie Noble | Physical Therapist | 50475 Gratiot, Suite B Physical Therapy Professionals PC, Chesterfield, MI 48051-3128 | 2007-08-06 |
| 1649460825 | Diann E Inch | Physical Therapist | 50475 Gratiot, Suite B Physical Therapy Professionals PC, Chesterfield, MI 48051-3128 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083139877 | Courtney Lynn Wittfeldt | Nurse Practitioner | 48833 Shady Glen Dr, Chesterfield, MI 48051 | 2017-08-14 |
| 1477082972 | Kathryn Louise Bruhns Zemke | Behavior Technician | 53869 Connor Drive, Chesterfield, MI 48051 | 2017-06-08 |
| 1417352055 | Julie Yaroch | Counselor | 51629 Hale Lane, Chesterfield Twp., MI 48051 | 2014-10-24 |
| 1437579661 | Jennifer Groeneveld | Physical Therapist | 34095 23 Mile Road, Chesterfield, MI 48051 | 2014-04-28 |
| 1376874396 | Donna Sue Perkins | Counselor | 50630 Chesterfield Road, Chesterfield, MI 48051 | 2010-01-15 |
| 1134267016 | Gary Main Burnett | Counselor | 46360 Gratiot Ave., Chesterfield, MI 48051 | 2007-02-02 |
| 1003831660 | Bormans Inc | Pharmacy | 51328 Gratiot, Chesterfield Twp, MI 48051 | 2006-07-13 |
| 1447228168 | Stephanie Lynn Denner | Occupational Therapist | 47085 Gratiot, Ceterfield, MI 48051 | 2006-03-09 |
| 1821077827 | Kathleen Marie-sohn Kudzia | Counselor | 46360 Gratiot, Chesterfield, MI 48051 | 2006-01-10 |
| 1548746209 | Pilar Elizabeth Mackey | Pharmacist | 51008 Gratiot Ave, Chesterfield, MI 48051 | 2018-07-16 |
| Find all providers in zip 48051 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255855789 | Aaron S. Johnson, Dds, PC | Dentist | 34301 23 Mile Rd Ste 140a, Chesterfield, MI 48047-4432 | 2017-07-26 |
| 1194254847 | Ibrahim Dawood | Dentist | 50503 Gratiot Ave, Chesterfield, MI 48051-3184 | 2017-06-07 |
| 1306205893 | Marc R. Sattovia | Dentist | 16100 Chesterfield Parkway W., #320, Chesterfield, MO 63017-4817 | 2016-02-12 |
| 1346605219 | Hurley Family Dentistry LLC | Dentist | 14377 Woodlake Dr Ste 211, Chesterfield, MO 63017-5735 | 2015-12-20 |
| 1639544059 | Alex Sharifian Dds, Chesterfield Smiles Dentistry, PC | Dentist | 16889 Chesterfield Airport Rd, Chesterfield, MO 63005-1437 | 2015-12-10 |
| 1215338959 | Bright Smiles Dental | Dentist | 7205 Hancock Village Dr, Chesterfield, VA 23832-2782 | 2014-09-12 |
| 1285057521 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 15817 Fountain Plaza Dr, Chesterfield, MO 63017-7468 | 2014-01-22 |
| 1881036630 | Faye Licata | Dentist | 111 Hilltown Village Ctr Ste 200, Chesterfield, MO 63017-1712 | 2013-07-22 |
| 1144591041 | Sensible Dental - Chesterfield | Dentist | 100 Thf Blvd., Chesterfield, MO 63005 | 2012-01-24 |
| 1720370497 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1642 Clarkson Rd, Chesterfield, MO 63017-4601 | 2011-05-12 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 48051 |
Please comment or provide details below to improve the information on TMJ & SLEEP THERAPY CENTRE OF MACOMB COUNTY, PLLC.
| 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.