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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | EVERGREEN DENTAL CARE BELLEVUE LLC | 1811 156th Ave Ne #1, Bellevue, WA 98007 |
Street Address |
24450 EVERGREEN RD SUITE 101 |
City | SOUTHFIELD |
State | MI |
Zip Code | 48075-5518 |
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 |
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 |
Find all providers in zip 48075 |
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 | 48075 |
Please comment or provide details below to improve the information on EVERGREEN DENTAL CARE.
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.