Fort Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FORT DENTAL CENTER

Practice address

3515 Fort St
Lincoln Park, MI 48146-4101

Phone

(313) 386-9404

Fax

(313) 386-9405

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Fadi Samman, D.D.S.NPI 1427014513

Title

Owner/Partner

Phone

(313) 386-9404

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Fadi M Samman, D.D.S.

  • General Practice Dentistry
  • Lincoln Park, MI
  • NPI 1427014513
  NPD (past) Authorized official

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1073790838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464101",
            "telephone_number": "313-386-9404",
            "fax_number": "313-386-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464101",
            "telephone_number": "313-386-9404",
            "fax_number": "313-386-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SAMMAN",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "313-386-9404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Scott Fesler
• Javier Fleming
• Melissa R Flores, DO
• Caroline Florescu, M.D.
• Foot and Ankle Oasis PLC
• Fort St RX Pharmacy LLC
• Fort Street Pharmacy
• Vernice Alfreda Gaither, BS
• Galayda & Shackleford DDS PC
• Isabel Gamez-Murphy

• General Practice Dentistry in Lincoln Park, MI
• Providers in Lincoln Park, 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 Jan 23, 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.