NPIMap

Organization Active NPI

Advance Dentistry Center

  • General Practice Dentistry
  • Bingham Farms, MI
National Provider Identifier
1063660348
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018720 Issued in MI
Legal business name
ADVANCE DENTISTRY CENTER
Practice address
31350 Telegraph Rd
Suite 101
Bingham Farms, MI 48025-4366
Phone
(248) 594-9592
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Suhail Mati, D.M.D.NPI 1972675312
Title
Dentist
Phone
(248) 594-9592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901018720 MI Primary

Addresses

Primary practice location

31350 Telegraph Rd
Suite 101
Bingham Farms, MI 48025-4366

Mailing address

31350 Telegraph Rd
Suite 101
Bingham Farms, MI 48025-4366
Phone (248) 594-9592

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1063660348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31350 TELEGRAPH RD",
            "address_2": "SUITE 101",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254366",
            "telephone_number": "248-594-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31350 TELEGRAPH RD",
            "address_2": "SUITE 101",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254366",
            "telephone_number": "248-594-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE DENTISTRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "MATI",
        "authorized_official_first_name": "SUHAIL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-594-9592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.