GENTLE DENTAL GRATIOT AVE PLLC (NPI# 1811012826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811012826 |
| Entity Type | Organization |
| Organization Name | GENTLE DENTAL GRATIOT AVE PLLC |
| Practice Address |
11180 Gratiot Ave Detroit MI 48213-1363 |
| Practice Telephone | 3132451780 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-08-02 |
| Authorized Official Name | MIKE COLE (INSURANCE DIRECTOR) |
| Authorized Official Telephone | 7277261611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
11180 GRATIOT AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215929906 | Eduardo Abellana | Family Medicine | 11180 Gratiot Ave, Siute C, Detroit, MI 48213-1363 | 2005-08-18 |
| 1457979205 | Madhumeeta Sanam-venkata | Dentist | 11180 Gratiot Ave, Detroit, MI 48213-1363 | 2020-07-08 |
| 1477987188 | Almeta Myrtice Andary | Nurse Practitioner | 11180 Gratiot Ave, Suite C, Detroit, MI 48213-1363 | 2013-08-29 |
| 1841473568 | Detroit - Gratiot P.C. | Dentist | 11180 Gratiot Ave, Detroit, MI 48213-1363 | 2007-12-17 |
| 1891831632 | George Ziyadeh | Dentist | 11180 Gratiot Ave, Detroit, MI 48213-1363 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| 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 |
|---|---|---|---|---|
| 1578947784 | Hamza Belhaj | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-07-17 |
| 1669865069 | Siew-ging Gong | Dentist | 2681 W Grand Blvd, Detroit, MI 48208-1233 | 2015-03-09 |
| 1265830756 | Caring Dentistry of Detroit | Dentist | 1001 W 7 Mile Rd, Detroit, MI 48203-1929 | 2014-12-15 |
| 1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
| 1376981530 | Basam Shamo | Dentist | 3670 Woodward Ave Ste 101b, Detroit, MI 48201-2456 | 2013-06-10 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1245574854 | Merrill Lenore Perlow | Dentist | 2217 Springwells St, Detroit, MI 48209-1509 | 2012-11-20 |
| 1245598770 | Mohamed M Mansour | Dentist | 2700 Mlk Jr Blvd, University of Detroit Mercy,school of Dentistry, Detroit, MI 48208-2576 | 2012-05-03 |
| 1417223298 | Paula G Carson Dds PC | Dentist | 18616 W Mcnichols Rd, Detroit, MI 48219-4160 | 2012-03-27 |
| 1205103728 | Lauren Rush | Dentist | 60 E Warren Ave Fl 2, Detroit, MI 48201 | 2011-11-29 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on GENTLE DENTAL GRATIOT AVE 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.