Active NPI
Leslie Afable, DDS
- Endodontics
- Bloomfield Hills, MI
National Provider Identifier
1073052833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2901600891
- Practice address
- 300 E Long Lake Rd Ste 290
Bloomfield Hills, MI 48304-2378 - Phone
- (248) 203-2330
- NPI assigned
- Feb 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901600891 | MI | |
| Endodontics | 1223E0200X | 2901600891 | MI | Primary |
Addresses
Primary practice location
300 E Long Lake Rd Ste 290
Bloomfield Hills, MI 48304-2378
Mailing address
410 Girard Ave Apt 201
Royal Oak, MI 48073-3669
Phone (305) 613-3967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901600891 | MI | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Expressions Dental Centers P C | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Bloomfield Hills, MI
- NPI 1124164926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1073052833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 GIRARD AVE APT 201",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733669",
"telephone_number": "305-613-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E LONG LAKE RD STE 290",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483042378",
"telephone_number": "248-203-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFABLE",
"first_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901600891",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "MI",
"license": "2901600891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Affiliated Psychologists of Michigan, P.C.
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- Ram Narain Agrawal, M.D.
- Roli R Agrawal, M.D.
- Ahmad M. Samhouri M.D. P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.