DINA ELHOUT DDS PC (NPI# 1790216315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790216315 |
| Entity Type | Organization |
| Organization Name | DINA ELHOUT DDS PC |
| Other Organization Name | CENTER FOR MODERN DENTISTRY |
| Practice Address |
430 N Telegraph Rd Dearborn MI 48128-1619 |
| Practice Telephone | 3135636601 |
| Practice Fax Number | 3135636986 |
| Mailing Telephone | 3135636601 |
| Mailing Fax Number | 3135636986 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | YASSER ALALI (DENTIST/OWNER) |
| Authorized Official Telephone | 3135636601 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2901021238 | MI | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
2901021098 | MI | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
2901020729 | MI | Dental Providers |
| Other Name | Type Code |
|---|---|
| Center for Modern Dentistry | Doing Business As Name - Organization |
| Street Address |
430 N TELEGRAPH RD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48128-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568875854 | Dina Elhout | Dentist | 430 N Telegraph Rd, Dearborn, MI 48128-1619 | 2014-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467942219 | Mahmoud Farhat | Dentist | 18590 Outer Dr, Dearborn, MI 48128 | 2018-05-17 |
| 1730607474 | Gentle Hands Direct Care Services, Inc. | Chore Provider | 6659 Schaefer Hwy, Ste. 103, Dearborn, MI 48128 | 2017-09-01 |
| 1396095824 | Corey S. Farber, Pllc | Dentist | 23919 Ford Road, Dearborn, MI 48128 | 2012-09-12 |
| 1184987075 | Yasser Alali | Dentist | 430 North Telegraph Road, Dearborn, MI 48128 | 2012-06-17 |
| 1841573425 | Apple Transportation LLC | Non-emergency Medical Transport (VAN) | 2000 Lafayette, Dearborn, MI 48128 | 2011-09-21 |
| 1407150295 | Dustin Marsh | Psychologist | 19044 Outer Dr, Dearborn, MI 48128 | 2011-01-07 |
| 1619205028 | Michigan-greenfield Urgent Care Pllc | Clinic/Center | 24355 Ford Rd, Dearborn, MI 48128 | 2009-11-23 |
| 1295905065 | Julius Frank Chikos | Dentist | 21775 Wildwood Street, Dearborn, MI 48128 | 2008-03-07 |
| 1003974155 | Walter Knysz Jr. | Dentist | 23401 Ford Road, Dearborn, MI 48128 | 2006-12-04 |
| 1902983703 | Fadi Ahmad Sobh | Pharmacist | 1745 N Silvery Ln, Dearborn, MI 48128 | 2006-11-01 |
| Find all providers in zip 48128 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184987075 | Yasser Alali | Dentist | 430 North Telegraph Road, Dearborn, MI 48128 | 2012-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247803 | Neil L Matthews Dds PC | Dentist | 305 Barclay Cir Ste 1004, Rochester Hills, MI 48307-4572 | 2020-02-20 |
| 1336672831 | Jennifer Moeller | Dentist | 31410 Northwestern Hwy Ste E, Farmington Hills, MI 48334-2563 | 2017-04-11 |
| 1780040998 | Minaal Verma | Dentist | 41980 Manor Park Dr, Apt 122, Novi, MI 48375-2775 | 2016-01-05 |
| 1750638995 | David Lawrence Aitken | Dentist | 2021 Timber Point Dr Se, Ada, MI 49301-8323 | 2012-08-07 |
| 1013216639 | Prosthetic and Implants Dentistry PC | Dentist | 1206 S Washington Ave, Royal Oak, MI 48067-3222 | 2011-03-22 |
| 1710130174 | Andrew Koran IIi | Dentist | 7346 Park Lake Dr, Dexter, MI 48130-9616 | 2008-10-29 |
| 1225203714 | William H Roedema | Dentist | 3739 Basswood Dr Sw, Grandville, MI 49418-2003 | 2008-04-25 |
| 1679747455 | Michael P. Girskis | Dentist | 37667 Pembroke Ave, Livonia, MI 48152 | 2008-04-14 |
| 1417121294 | Stephen J. Riedy | Dentist | 31544 Schoolcraft Rd, Livonia, MI 48150-1805 | 2008-04-14 |
| 1194993428 | Dental Rehab PC | Dentist | 26699 W 12 Mile Rd Ste 200, Southfield, MI 48034-7815 | 2008-02-20 |
| Find all providers with the same taxonomy | ||||
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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.