Community Dental Center PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D7236A Issued in MI

Legal business name

COMMUNITY DENTAL CENTER PLLC

Practice address

4000 Miller St
Detroit, MI 48211-1555

Phone

(313) 539-2209

NPI assigned

Feb 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nigeeb Obeid

Title

Owner

Phone

(313) 463-3263

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1073852091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MILLER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482111555",
            "telephone_number": "313-539-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MILLER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482111555",
            "telephone_number": "313-539-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "OBEID",
        "authorized_official_first_name": "NIGEEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-463-3263",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "D7236A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.