Macomb-Shelby Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MACOMB-SHELBY DENTAL

Doing business as

Macomb-Shelby Dental

Practice address

51210 Romeo Plank Rd
Macomb, MI 48042-4129

Phone

(586) 677-7944

NPI assigned

Apr 12, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Yezak

Title

Office Manager

Phone

(586) 677-7944

Specialties & licenses 1

Addresses

Other names 1

• Macomb-Shelby Dental Doing business as

Locations

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1093158669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51210 ROMEO PLANK RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51210 ROMEO PLANK RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424129",
            "telephone_number": "586-677-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB-SHELBY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "YEZAK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-677-7944",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macomb-Shelby Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Macomb Family Eye Care PC
• Macomb Internists PC
• Macomb MD Urgent Care Walk in Clinic P.C
• Macomb Prompt Care PLLC
• Macomb Prompt Care PLLC
• Kelly Jean Mahla, LLP, PTA
• Vijayarajan Malaichamy
• Linda Mamou, RPH
• Sheena Manalel, LMSW
• David Robert Mandy, D.O.

• General Practice Dentistry in Macomb, MI
• Providers in Macomb, 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 Apr 12, 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.