Deluxe Dental Associates 9-Warren PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DELUXE DENTAL ASSOCIATES 9-WARREN PLLC

Practice address

29170 Hoover Rd
Warren, MI 48093-3476

Phone

(810) 820-7766

Fax

(810) 243-0454

NPI assigned

Mar 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amber Mikha-Kizy, DDS

Title

Owner

Phone

(810) 820-7766

Specialties & licenses 1

Addresses

Other names 1

• Deluxe Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1033969332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29170 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933476",
            "telephone_number": "810-820-7766",
            "fax_number": "810-243-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29170 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933476",
            "telephone_number": "810-820-7766",
            "fax_number": "810-243-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE DENTAL ASSOCIATES 9-WARREN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "MIKHA-KIZY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-820-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deluxe Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Timothy Deconinck, DDS
• Derik Peter Deconinck, DDS
• Dedicated Physicians Group of Michigan PLLC
• Jami L Dekker, PA
• Delta Primary & Urgent Care PLLC
• Jill F. Dely, PA-C
• Matt Demerle
• Nicholas Demers, MOTRL
• Nicole Lynne Demeter, CNM
• Haley Deming

• General Practice Dentistry in Warren, MI
• Providers in Warren, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.