Deluxe Dental PLLC # 3

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DELUXE DENTAL PLLC # 3

Practice address

47059 Van Dyke Ave
Shelby Township, MI 48317-3357

Phone

(586) 991-6299

Fax

(586) 799-4076

NPI assigned

Sep 22, 2017

Organization subpart

No

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

Authorized official

Name

Faddi Salim

Title

Dentist

Phone

(586) 991-6299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053820977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47059 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173357",
            "telephone_number": "586-991-6299",
            "fax_number": "586-799-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47059 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173357",
            "telephone_number": "586-991-6299",
            "fax_number": "586-799-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE DENTAL PLLC # 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SALIM",
        "authorized_official_first_name": "FADDI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-991-6299"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhumika Dedhia
• Molly Delfine, MA, LPC
• Manuela Della-Torre, AGNP
• Patricia Deloof, M.D.
• Deluxe Dental Associates #12- Shelby, PLLC (Deluxe Dental)
• Ashley Demeniuk, LLP
• Kimberly Denny, PA-C
• Brian Robert Derderian
• Denise Michelle Des Madryl, OTR
• Developing Connections, Inc.

• General Practice Dentistry in Shelby Township, MI
• Providers in Shelby Township, 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 21, 2022; 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.