Select Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

015471 Issued in MI

Legal business name

SELECT DENTAL PC

Practice address

16128 15 Mile Road
Suite 4
Fraser, MI 48026

Phone

(586) 790-7550

Fax

(586) 790-7780

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Richard Abood, DDS

Title

President Owner

Phone

(586) 790-7550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104920446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16128 15 MILE ROAD",
            "address_2": "SUITE 4",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "48026",
            "telephone_number": "586-790-7550",
            "fax_number": "586-790-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16128 15 MILE ROAD",
            "address_2": "SUITE 4",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "48026",
            "telephone_number": "586-790-7550",
            "fax_number": "586-790-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABOOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "586-790-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "015471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Ruffin
• Danielle Marie Salens
• Jessica Paige Samples
• Margaret Ann Schlosser, OD
• Robert Schumann, MA LPC
• Shared Commitment Agency Inc
• Kari Sherwood, LLMSW
• Lindy Marie Smith, COTAL
• Lauren Danielle Snarski, RN
• Leigh Ellen Snyder, DDS

• Dentist in Fraser, MI
• Providers in Fraser, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.