ONYX AND DEDICATED DENTAL SERVICES


Address: 645 Griswold St, Suite 224, Detroit, MI 48226-4105
Phone: 3132630230

ONYX AND DEDICATED DENTAL SERVICES (NPI# 1851750608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851750608
Entity Type Organization
Organization Name ONYX AND DEDICATED DENTAL SERVICES
Practice Address 645 Griswold St
Suite 224
Detroit
MI 48226-4105
Practice Telephone 3132630230
Practice Fax Number 3132630320
Mailing Telephone 3132630230
Mailing Fax Number 3132630320
Enumeration Date 2016-02-22
Last Update Date 2016-02-22
Authorized Official Name MS. SHEILA D. HALL (DENTAL HYGIENIST/OFFICE ADMINISTRAT)
Authorized Official Telephone 2487633384
Authorized Official Credential R.D.H.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 2902003560 MI Managed Care Organizations

Office Location

Street Address 645 GRISWOLD ST
SUITE 224
City DETROIT
State MI
Zip Code 48226-4105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912255928 Smiles of Tomorrow, P.C. Clinic/Center 645 Griswold St, St 224, Detroit, MI 48226-4105 2012-08-22

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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

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1942307590 Elite of Care Services, Inc Preferred Provider Organization 15442 Oakfield St, Detroit, MI 48227-1534 2006-09-17
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1871984880 Children's Alliance of Metro Detroit Preferred Provider Organization 10 Witherell St, Suite 2702, Detroit, MI 48226-1661 2015-02-12
1831508522 Gateway Detroit Preferred Provider Organization 11457 Shoemaker St, Detroit, MI 48213-3418 2014-08-06
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Competitor

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City DETROIT
Zip Code 48226

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Dataset Information

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.

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