WEST BLOMMFIELD DENTAL AND ASSOCIATES PLLC (NPI# 1629371182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629371182 |
| Entity Type | Organization |
| Organization Name | WEST BLOMMFIELD DENTAL AND ASSOCIATES PLLC |
| Practice Address |
6900 Orchard Lake Rd 211 West Bloomfield MI 48322-3405 |
| Practice Telephone | 2488515650 |
| Practice Fax Number | 2488515663 |
| Mailing Telephone | 2488515650 |
| Mailing Fax Number | 2488515663 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |
| Authorized Official Name | GLEN BRIAN DAVIS (CEO) |
| Authorized Official Telephone | 2488515650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | 2902011884 | MI | Dental Providers |
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| Y | 122300000X | Dentist | 017174 | MI | Dental Providers |
| Street Address |
6900 ORCHARD LAKE RD 211 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518952894 | Neil A Brickman | Obstetrics & Gynecology | 6900 Orchard Lake Rd, Ste 306, West Bloomfield, MI 48322-3405 | 2005-09-13 |
| 1699306928 | Randi Alison Fried | Speech-Language Pathologist | 6900 Orchard Lake Rd, West Bloomfield, MI 48322-3405 | 2020-01-27 |
| 1114494556 | Tressa Elizabeth Konnie | Speech-Language Pathologist | 6900 Orchard Lake Rd, West Bloomfield, MI 48322-3405 | 2018-10-24 |
| 1619443744 | Candice Smale | Speech-Language Pathologist | 6900 Orchard Lake Rd, West Bloomfield, MI 48322-3405 | 2018-10-16 |
| 1396210175 | Stephanie Mary Polidori | Speech-Language Pathologist | 6900 Orchard Lake Rd, West Bloomfield, MI 48322-3405 | 2018-10-09 |
| 1982188090 | Chanel Jerry Pattah | Physician Assistant | 6900 Orchard Lake Rd, West Bloomfield, MI 48322-3405 | 2018-09-24 |
| 1972000636 | Kathleen Christina Hammerle | Occupational Therapist | 6900 Orchard Lake Rd, West Bloomfield, MI 48322-3405 | 2018-04-10 |
| 1619478658 | Hailey Nicole Noe | Physical Therapist | 6900 Orchard Lake Rd, West Bloomfield, MI 48322-3405 | 2018-02-26 |
| 1215438312 | Romualda Sikora-klak | Physical Therapist | 6900 Orchard Lake Rd, West Bloomfield, MI 48322-3405 | 2018-02-23 |
| 1184125452 | Eva Elizabeth Thompson | Physical Therapist | 6900 Orchard Lake Rd, West Bloomfield, MI 48322-3405 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| 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 |
|---|---|---|---|---|
| 1053972810 | Rita Paulus | Dentist | 2300 Haggerty Rd Ste 2040, West Bloomfield, MI 48323-2189 | 2019-06-24 |
| 1760841209 | Tamara Rabban Kasmikha | Dentist | 4852 Lenomar Ct, West Bloomfield, MI 48322-2280 | 2016-02-11 |
| 1134552946 | Donna M Hassoun | Dentist | 4694 Valleyview Dr, West Bloomfield, MI 48323-3355 | 2013-08-15 |
| 1144667684 | Jacqueline Jameel Zoma | Dentist | 6330 Orchard Lake Rd Ste 130, West Bloomfield, MI 48322-2398 | 2013-05-23 |
| 1871878793 | Astounding Bright Confident Smiles PC | Dentist | 5848 Applewood, 1404, West Bloomfield, MI 48322-3488 | 2011-10-12 |
| 1629365770 | Shiffman Dental Sleep Clinic Pllc | Dentist | 7010 Pontiac Trail, West Bloomfield, MI 48323-2017 | 2011-07-08 |
| 1831326883 | Robin Oklin Bernard | Dentist | 4709 Walnut Glen Ct, West Bloomfield, MI 48323-4006 | 2009-06-17 |
| 1033362793 | Alvin Yousif Daboul | Dentist | 2332 Hiller Road, West Bloomfield, MI 48323 | 2008-10-28 |
| 1992952840 | Henry L. Citron | Dentist | 4221 Southmoor Ln, West Bloomfield, MI 48323-3130 | 2008-08-22 |
| 1952561706 | Deepika Aggarwal | Dentist | 6259 Willow Ct, West Bloomfield, MI 48324 | 2008-06-16 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
Please comment or provide details below to improve the information on WEST BLOMMFIELD DENTAL AND ASSOCIATES 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.