NPIMap

Organization Active NPI

Advanced Dental Center, PLLC

  • General Practice Dentistry
  • Lincoln Park, MI
National Provider Identifier
1083638753
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADVANCED DENTAL CENTER, PLLC
Practice address
3611 Fort St
Lincoln Park, MI 48146-4103
Phone
(313) 382-4880
Fax
(313) 382-0368
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Dr. Aakash Shah, DDSNPI 1811338676
Title
Owner/Dentist
Phone
(313) 382-4880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3611 Fort St
Lincoln Park, MI 48146-4103

Mailing address

3611 Fort St
Lincoln Park, MI 48146-4103
Phone (313) 382-4880

National Provider Directory

National Provider Directory

Locations

3611 Fort St
Lincoln Park, MI 48146
Phone (313) 382-4880

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1083638753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464103",
            "telephone_number": "313-382-4880",
            "fax_number": "313-382-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464103",
            "telephone_number": "313-382-4880",
            "fax_number": "313-382-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AAKASH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "313-382-4880",
        "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": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.