Park Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PARK DENTAL CARE PC

Practice address

18935 Grand River Ave
Detroit, MI 48223-2273

Phone

(248) 795-8071

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Abdul Ghani Fahd Fahd Mohammed, DDSNPI 1144770652

Title

Owner/Dentist

Phone

(248) 795-8071

Specialties & licenses 1

Addresses

Other names 1

• PARK DENTAL SERVICES Former legal business name

Locations

Practitioners 1

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

• Abdul Ghani Fahd Mohammed, D.D.S.

  • Dentist
  • Detroit, MI
  • NPI 1144770652
  NPD Authorized official

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1073372058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 PEGGY ST",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224446",
            "telephone_number": "248-795-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18935 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232273",
            "telephone_number": "248-795-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ABDUL GHANI FAHD",
        "authorized_official_middle_name": "FAHD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "248-795-8071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK DENTAL SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kevin Parish
• Michael Aaron Parish, M.D.
• Jarrod Paritee
• Stephanie Paritee, LLMSW
• Michelle Parizon
• Park Dental Service, P.C.
• Park Family Health Care, P.C.
• Park Med Pharmacy LLC
• Park Medical Pharmacy Inc
• Park Medical RX LLC

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, 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 Mar 13, 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.