EASTLAND DENTAL CENTER (NPI# 1790845964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790845964 |
| Entity Type | Organization |
| Organization Name | EASTLAND DENTAL CENTER |
| Practice Address |
18000 Vernier Harper Woods MI 48225 |
| Practice Telephone | 3135212070 |
| Practice Fax Number | 3135269907 |
| Mailing Telephone | 3135212070 |
| Mailing Fax Number | 3135269907 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GIANFRANCO TIBERIA (OWNER) |
| Authorized Official Telephone | 3135212070 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 17767 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4274738 | 05 |
| Street Address |
18000 VERNIER |
| City | HARPER WOODS |
| State | MI |
| Zip Code | 48225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922185982 | Odette Roye Haouilou | Dentist | 18000 Vernier, Harper Woods, MI 48225 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660046 | Ingrid Lewis | Registered Nurse | 20831 Ridgemont Rd, Harper Woods, MI 48225 | 2018-05-21 |
| 1699264598 | Jeffrey Brooks | Licensed Practical Nurse | 20415 Balfour St, Apt 4, Harper Woods, MI 48225 | 2018-05-07 |
| 1518373430 | Meah Khrysteana Tweh | Technician, Other | 20995 Bournemouth, Harper Woods, MI 48225 | 2014-07-11 |
| 1376878256 | Thomas Thurman | Social Worker | 20303 Kelly Rd., Detroit, MI 48225 | 2009-10-09 |
| 1376799320 | Ronald Brian Cornish | Massage Therapist | 20010 Kelly Rd, Harperwoods, MI 48225 | 2008-08-11 |
| 1811167562 | Family First Home Care LLC | Home Health | 19959 Vernier, Suite 1a, Harper Woods, MI 48225 | 2008-03-10 |
| 1831286236 | Gerald Joseph Fedon | Dentist | 20840 Vernier Rd, Harper Woods, MI 48225 | 2006-10-06 |
| 1790213759 | Horacio Enrique Falcon | Dentist | 20690 Vernier Rd, Harper Woods, MI 48225 | 2017-06-02 |
| 1609058585 | Patricia Ann Peet | Durable Medical Equipment & Medical Supplies | 19566 Kelly Rd, Harper Woods, MI 48225 | 2007-12-03 |
| 1780953604 | Beachside Dialysis LLC | Clinic/Center | 19265 Vernier Rd, Harper Woods, MI 48225-1010 | 2011-12-21 |
| Find all providers in zip 48225 | ||||
| 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 |
|---|---|---|---|---|
| 1134398423 | Thomas John Sloan | Dentist | 20618 Harper Ave, Harper Woods, MI 48225-1429 | 2008-02-21 |
| 1922185982 | Odette Roye Haouilou | Dentist | 18000 Vernier, Harper Woods, MI 48225 | 2006-11-01 |
| 1962407064 | Gianfranco Tiberia | Dentist | 18000 Vernier Rd, Harper Woods, MI 48225-1046 | 2005-06-15 |
| 1790213759 | Horacio Enrique Falcon | Dentist | 20690 Vernier Rd, Harper Woods, MI 48225 | 2017-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700986 | Lake Orion Family Dentistry | Dentist | 1320 S Lapeer Rd, Lake Orion, MI 48360-1435 | 2020-11-05 |
| 1093315202 | Peninsula Family Dentistry, PC | Dentist | 3210 Us 41 W, Marquette, MI 49855-9483 | 2020-10-27 |
| 1437758398 | Pristine Dental Care | Dentist | 3021 E Walton Blvd, Auburn Hills, MI 48326-2368 | 2020-10-21 |
| 1003414749 | Rami Ghandour | Dentist | G3023 Miller Rd, Flint, MI 48507-1353 | 2020-10-14 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1457968133 | Norman Family Dentistry PC | Dentist | 519 Ada Dr Se Ste A, Ada, MI 49301-9069 | 2020-09-28 |
| 1992312680 | Waely Dental Pllc | Dentist | 1769 Inkster Rd, Garden City, MI 48135-3028 | 2020-09-26 |
| 1164037362 | David Posada | Dentist | 1326 Marion Ave, Lincoln Park, MI 48146-2090 | 2020-09-14 |
| 1144835059 | Chelsea Anthony | Dentist | 23207 Norcrest Dr, Saint Clair Shores, MI 48080-2586 | 2020-09-09 |
| 1275147399 | Yuvraj Pannu | Dentist | 2501 W Pierson Rd Unit B, Flint, MI 48504-6802 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | HARPER WOODS |
| Zip Code | 48225 |
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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.