Fedon Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FEDON FAMILY DENTAL

Practice address

5805 24 Mile Rd
Suite a
Shelby Township, MI 48316-3281

Phone

(586) 781-6508

Fax

(586) 677-5567

NPI assigned

Mar 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Leonard Fedon, D.D.S.

Title

Owner

Phone

(586) 781-6508

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1063786473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 24 MILE RD",
            "address_2": "SUITE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163281",
            "telephone_number": "586-781-6508",
            "fax_number": "586-677-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 24 MILE RD",
            "address_2": "SUITE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163281",
            "telephone_number": "586-781-6508",
            "fax_number": "586-677-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDON FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "FEDON",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-781-6508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadi Assaf DDS V PLLC
• Kirsten J Fanelli, DMD
• Cynthia Ann Faraji-Tajrishi, COTA
• Verena Atef Farouk, DDS
• Joey Fattizzo, FNP, RN, RDH
• Leonard Fedon, DDS
• Jordi Ferre
• Brian Fiani, D.O., F.A.C.O.S.
• Rebecca June Field, LPC
• Susan Lynne Findley

• Dentist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.