EVERGREEN DENTAL CARE


Address: 24450 Evergreen Rd, Suite 101, Southfield, MI 48075-5518
Phone: 2488551855

EVERGREEN DENTAL CARE (NPI# 1588006837) 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) 1588006837
Entity Type Organization
Organization Name EVERGREEN DENTAL CARE
Practice Address 24450 Evergreen Rd
Suite 101
Southfield
MI 48075-5518
Practice Telephone 2488551855
Enumeration Date 2013-07-26
Last Update Date 2013-07-26
Authorized Official Name DR. SHAKIB HALABU (OWNER)
Authorized Official Telephone 2488551855
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations EVERGREEN DENTAL CARE BELLEVUE LLC 1811 156th Ave Ne #1, Bellevue, WA 98007

Office Location

Street Address 24450 EVERGREEN RD
SUITE 101
City SOUTHFIELD
State MI
Zip Code 48075-5518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871548495 In Home Diagnostics LLC Spec/Tech, Cardiovascular 24450 Evergreen Rd, Suite 200, Southfield, MI 48075-5518 2006-05-23
1841797321 Peachtree Services LLC Hospice Care, Community Based 24450 Evergreen Rd, Southfield, MI 48075-5518 2018-04-10
1497095897 Exfinity Home Care Inc. Home Health 24450 Evergreen Rd, Suite 207, Southfield, MI 48075-5518 2013-02-21
1073835120 Gagoh Family Dental Dentist 24450 Evergreen Rd, Suite 101, Southfield, MI 48075-5518 2010-02-17
1265603757 Stines Dental Associates Dentist 24450 Evergreen Rd, Suite101, Southfield, MI 48075-5518 2008-03-12
1942343009 Oakland Physical Therapy and Rehabilitation,inc Clinic/Center 24450 Evergreen Rd, Suite 209, Southfield, MI 48075-5518 2007-02-15
1407993645 Alfred Vincent Stines Dentist 24450 Evergreen Rd, Suite 101, Southfield, MI 48075-5518 2007-01-30
1528138898 Northland Family Planning P.C. Specialist 24450 Evergreen Rd, Suite 220, Southfield, MI 48075-5518 2006-11-08
1376613620 Northland Family Planning Center, Inc. Specialist 24450 Evergreen Rd, Suite 220, Southfield, MI 48075-5518 2006-11-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1265056410 Husein Yusuf Husein Podiatrist Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 2020-06-03
1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
1801304241 Absolute Hc LLC Physical Therapist 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 2018-01-19
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SOUTHFIELD
Zip Code 48075

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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.

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