DIVINE FAMILY DENISTRY (NPI# 1639569684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639569684 |
| Entity Type | Organization |
| Organization Name | DIVINE FAMILY DENISTRY |
| Practice Address |
27845 Gratiot Ave Roseville MI 48066-4848 |
| Practice Telephone | 5864452990 |
| Mailing Telephone | 5864452990 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | WENDI ABDEL-HAMEED (RECEPTIONIST) |
| Authorized Official Telephone | 5864452990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
27845 GRATIOT AVE |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| 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 |
|---|---|---|---|---|
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1023654381 | Daniel Fernando Reyes Sighinolfi | Dentist | 3281 Rock Creek Way, Roseville, CA 95747-7155 | 2019-11-21 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1114586203 | Cam Ha | Dentist | 17367 Kershaw St, Roseville, MI 48066-3345 | 2019-06-11 |
| 1861910705 | Rss Laurie Strand Pllc | Dentist | 2375 Fairview Ave N, Roseville, MN 55113-2707 | 2017-08-30 |
| 1326562752 | Fernando Lopez Vargas | Dentist | 4000 Foothills Blvd Ste 126, Roseville, CA 95747-7251 | 2017-07-27 |
| 1942743182 | Sarang Dehghan | Dentist | 3245 Halverson Way, Roseville, CA 95661-4039 | 2016-11-20 |
| 1053760587 | Maichou Yang | Dentist | 700 Sunrise Ave Ste E, Roseville, CA 95661-4561 | 2016-06-06 |
| 1093178055 | Sonny Afshar Dds Inc | Dentist | 2030 Douglas Blvd, Suite 37, Roseville, CA 95661-3855 | 2016-03-29 |
| 1326449984 | Hamzah Alkordy | Dentist | 2424 Professional Dr, Roseville, CA 95661-7773 | 2014-09-14 |
| Find all providers in ROSEVILLE | ||||
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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.