Organization Active NPI

Mojo Dental Services

  • Dentist
  • Farmington Hills, MI
National Provider Identifier
1093433179
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MOJO DENTAL SERVICES
Doing business as
michigan dental sedation and surgical group
Practice address
32905 W 12 Mile Rd Ste 240a
Farmington Hills, MI 48334-3342
Phone
(313) 663-6484
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Dr. Mohammed Sobh, DDS
Title
Co-Owner
Phone
(313) 663-6484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

32905 W 12 Mile Rd Ste 240a
Farmington Hills, MI 48334-3342

Mailing address

32905 W 12 Mile Rd Ste 240a
Farmington Hills, MI 48334-3342
Phone (313) 663-6484

Other names 1

  • michigan dental sedation and surgical group Doing business as

National Provider Directory

National Provider Directory

Locations

32905 W 12 Mile Rd
Ste 240A
Farmington Hills, MI 48334
Phone (313) 663-6484

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1093433179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD STE 240A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343342",
            "telephone_number": "313-663-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD STE 240A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343342",
            "telephone_number": "313-663-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJO DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "SOBH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "313-663-6484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "michigan dental sedation and surgical group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.