DR. MARK SHALABY (NPI# 1417487661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417487661 |
| Entity Type | Individual |
| Full Name | DR. MARK SHALABY |
| Credential | DDS |
| Practice Address |
33428 Five Mile Rd Livonia MI 48154-2860 |
| Mailing Address |
1073 Foxboro Troy MI 48083-5460 |
| Practice Telephone | 7344277555 |
| Mailing Telephone | 7605544569 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901022352 | MI | Dental Providers |
| Street Address |
33428 FIVE MILE RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437227758 | Sanford Jay Nitzkin | Dentist | 33428 Five Mile Rd, Livonia, MI 48154 | 2006-12-04 |
| 1043480064 | Timur Sekercioglu | Exclusive Provider Organization | 33428 Five Mile Rd, Livonia, MI 48154-2860 | 2008-03-05 |
| 1083884092 | Livonia Dental Care | Exclusive Provider Organization | 33428 Five Mile Rd, Livonia, MI 48154-2860 | 2008-03-05 |
| 1225224876 | Rohit Arora | Dentist | 33428 Five Mile Rd, Livonia, MI 48154-2860 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912400128 | Awesome Dental | Dentist | 36000 Five Mile Rd, Livonia, MI 48154-1918 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1356790901 | Deepthi Vemuri | Dentist | 33428 5 Mile Rd, Livonia, MI 48154-2860 | 2016-06-05 |
| 1245614981 | Abbas Baiz | Dentist | 36400 Five Mile Rd, Livonia, MI 48154-1972 | 2015-07-13 |
| 1922411123 | Eric Harrison | Dentist | 15406 Levan Rd, Livonia, MI 48154-1943 | 2014-06-04 |
| 1831470616 | Jagvir Kaur | Dentist | 37595 7 Mile Rd Ste 450, Livonia, MI 48152-1003 | 2011-09-07 |
| 1023302551 | Neha Saurabh Desai | Dentist | 31187 Morlock St, Apt 518, Livonia, MI 48152-1668 | 2011-06-01 |
| 1154573459 | Cynthia Marie Todaro | Dentist | 31395 Seven Mile, Ste B, Terri L. Todaro Dds, Livonia, MI 48152 | 2008-10-17 |
| 1912162645 | Victor Sanz | Dentist | 34020 7 Mile Rd, Livonia, MI 48152-4911 | 2008-07-22 |
| 1407013550 | Shannon Marie Campbell | Dentist | 31450 W Seven Mile Road, Suite 109, Livonia, MI 48152-1375 | 2008-05-16 |
| Find all providers in LIVONIA | ||||
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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.