DR. SABAH LILLIAN GAGNON (NPI# 1982087953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982087953 |
| Entity Type | Individual |
| Full Name | DR. SABAH LILLIAN GAGNON |
| Credential | DDS |
| Practice Address |
31700 W 12 Mile Rd Ste 103 Farmington Hills MI 48334-4460 |
| Mailing Address |
8641 Shaddick St Dearborn MI 48126-4702 |
| Practice Telephone | 2488918515 |
| Practice Fax Number | 2485730233 |
| Mailing Telephone | (313) 213-2505 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 29-1-21527 | MI | Dental Providers |
| Street Address |
31700 W 12 MILE RD STE 103 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-4460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689119190 | Laurich Dentistry II | Dentist | 31700 W 12 Mile Rd Ste 103, Farmington Hills, MI 48334-4460 | 2016-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| 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 |
|---|---|---|---|---|
| 1194334102 | Margaret Gordinier | Dentist | 31487 Northwestern Hwy Ste B, Farmington Hills, MI 48334-5415 | 2020-07-26 |
| 1558970897 | Nicholas Joseph Barone | Dentist | 31300 Ludden St Ste A, Farmington Hills, MI 48334-1401 | 2020-07-22 |
| 1730626334 | Enamel Dental Studio | Dentist | 31396 Northwestern Hwy, Farmington Hills, MI 48334-2534 | 2017-01-21 |
| 1932643111 | Desai Dental Spa, PC | Dentist | 28535 Orchard Lake Rd, Suite # 400, Farmington Hills, MI 48334-2940 | 2016-12-07 |
| 1194176065 | Aida Maratovna Rosenthal | Dentist | 29402 Laurel Dr, Farmington Hills, MI 48331-2828 | 2016-06-22 |
| 1891157053 | Nahla Wadie Dds | Dentist | 31487 Northwesteren Hwy, Farmington Hills, MI 48334 | 2016-03-25 |
| 1700243144 | William Stutman Dds PC | Dentist | 31800 Northwestern Hwy Ste 380, Farmington Hills, MI 48334-1604 | 2016-01-15 |
| 1326411042 | Stephen R Harris Dds, PC | Dentist | 34024 W 8 Mile Rd Ste 106, Farmington Hills, MI 48335-5209 | 2015-11-03 |
| 1982086096 | Orchard Dental Group PC | Dentist | 28124 Orchard Lake Rd Ste 100, Farmington Hills, MI 48334-3760 | 2015-06-25 |
| 1609285337 | Peter Young Son | Dentist | 22734 Shadowglen Dr, Farmington Hills, MI 48335-3656 | 2014-08-06 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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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.