MIDWESTERN DENTAL OF DETROIT (NPI# 1760431936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760431936 |
| Entity Type | Organization |
| Organization Name | MIDWESTERN DENTAL OF DETROIT |
| Practice Address |
1415 Trumbull St Detroit MI 48216-1368 |
| Mailing Address |
5050 Schaefer Rd Dearborn MI 48126-3249 |
| Practice Telephone | 3139632222 |
| Practice Fax Number | 3139633665 |
| Mailing Telephone | 3135828150 |
| Mailing Fax Number | 3135826015 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN MORGAN JR. (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 3135828150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
N/A | Dental Providers |
| Street Address |
1415 TRUMBULL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48216-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245364199 | Michael Edward Johnson | Social Worker | 1415 Trumbull St, Detroit, MI 48216-1368 | 2007-03-15 |
| 1881728947 | Metropolitan Counseling Center, LLC | Community/Behavioral Health | 1415 Trumbull St, Detroit, MI 48216-1368 | 2007-03-14 |
| 1275667354 | Catherine Ann Panik | Counselor | 1415 Trumbull St, Detroit, MI 48216-1368 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285287912 | Karah Jeannine Adams | Social Worker | 1600 Porter Street, Detroit, MI 48216 | 2019-07-22 |
| 1457865354 | Aaa Home Visiting Pllc | Internal Medicine | 1502 Fort St, Detroit, MI 48216 | 2017-11-30 |
| 1083004147 | Dan Webster Christian Wood | Social Worker | 1600 Porter St., Detroit, MI 48216 | 2015-01-28 |
| 1497010938 | Turner's Diagnostics | Clinic/Center | 727 West Grand Boulevard #315, Detroit, MI 48216 | 2012-07-11 |
| 1215177019 | Detroit Medical Centre | General Acute Care Hospital | 5000 Heather Drive, Dearborn, MI 48216 | 2009-03-06 |
| 1619164324 | Celso Enterprise Inc | Clinic/Center | 3968 E Vernor Hwy, Detroit, MI 48216 | 2007-09-26 |
| 1376706069 | Sandra Overstreet-ware | Social Worker | 3815 W Fort St, Detroit, MI 48216 | 2008-07-03 |
| 1013156660 | Carmetta Sharlena Jones | Home Health | 790 W Grand Blvd, Detroit, MI 48216-1003 | 2009-02-05 |
| 1982085429 | Gayle England | Custodial Care Facility | 777 W Grand Blvd, Detroit, MI 48216-1056 | 2015-06-10 |
| 1851734297 | Vishnu Kodumuru | Physical Therapist | 815 W Grand Blvd, Detroit, MI 48216-1056 | 2013-04-16 |
| Find all providers in zip 48216 | ||||
| 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 |
|---|---|---|---|---|
| 1528678687 | Elmwood Park Dental | Dentist | 1547 E Lafayette St, Detroit, MI 48207-2958 | 2020-08-04 |
| 1205452786 | Daniel Galvez | Dentist | 200 Riverfront Dr Apt 20f, Detroit, MI 48226-7598 | 2020-06-22 |
| 1669947107 | Diamond Smiles Dentistry, PC | Dentist | 13334 E Jefferson Ave, Detroit, MI 48215-2719 | 2018-10-11 |
| 1053802629 | Hussein Daher | Dentist | 6061 W Vernor Hwy Ste 1, Detroit, MI 48209-2085 | 2018-05-19 |
| 1497278287 | Kamil Abraham | Dentist | 24366 Grand River Ave Ste 111, Detroit, MI 48219-3098 | 2017-07-24 |
| 1326561887 | Nicholas Dipilla | Dentist | 1 Woodward Ave Ste 1625, Detroit, MI 48226-3422 | 2017-07-17 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1164967469 | Fady Sarkees | Dentist | 21427 Grand River Ave, Detroit, MI 48219-3896 | 2016-12-23 |
| 1538523477 | Charnia Hall | Dentist | 4272 Saint Antoine St, Detroit, MI 48201-2108 | 2016-04-06 |
| 1093178378 | Florence Koloko | Dentist | 250 E Harbortown Dr Apt 608, Detroit, MI 48207-5010 | 2016-04-03 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on MIDWESTERN DENTAL OF DETROIT.
| 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.