Dental House - West Bloomfield

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL HOUSE - WEST BLOOMFIELD

Practice address

6595 Orchard Lake Rd Ste a-160
West Bloomfield, MI 48322-3403

Phone

(734) 999-9909

NPI assigned

Feb 17, 2023

Organization subpart

No

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

Authorized official

Name

Ramy Attalla, DMDNPI 1538540901

Title

Ceo

Phone

(804) 539-6622

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Ramy Attalla, DMD

  • General Practice Dentistry
  • Clifton, NJ
  • NPI 1538540901
  NPD (past) Authorized official
• Fadi A Elayyan, DMD

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1669958674
  NPD
• Maged Mamdouh Mohamed

  • Dentist
  • Ann Arbor, MI
  • NPI 1962188920
  NPD

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1083312243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 WASHTENAW AVE STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083401",
            "telephone_number": "734-999-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 ORCHARD LAKE RD STE A-160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223403",
            "telephone_number": "734-999-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HOUSE - WEST BLOOMFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "ATTALLA",
        "authorized_official_first_name": "RAMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-539-6622",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Dembs, LMSW
• Patricia L Denham
• Lillie Fay Dennard, LLPC
• Dental Arts of Maple
• Dental Care of Michigan
• Brian Patrick Denton, M.D.
• Devyn Depeter, RBT
• Rebecca Sue Deraud, MSW
• Katie Derkacz, CCC-SLP
• Amy Philomena Derosa, D.O.

• Dental Clinic/Center in West Bloomfield, MI
• Providers in West Bloomfield, 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 17, 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.

Verify at the official NPI Registry.