Behzad Amin, D.D.S.
Individual provider Active NPI General Practice Dentistry · Commerce Township, MI
NPI 1104952852 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104952852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901016344 (MI)
- Practice address
- 2900 Union Lake Rd
Suite 120
Commerce Township, MI 48382-3500 - Phone
- (248) 363-8285
- Fax
- (248) 363-8287
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160906000409 | MI | Order and Referring Only - Dentist |
7719273556 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakes Family Dentistry P.C. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901016344 | MI | Yes |
Addresses
Primary practice location
2900 Union Lake Rd
Suite 120
Commerce Township, MI 48382-3500
Mailing address
2900 Union Lake Rd
Suite 120
Commerce Township, MI 48382-3500
Phone (248) 363-8285
Other providers in Commerce Township, MI
- Fayrouz Alkhouri
- Manuela Almeida Viveiros Sa
- Americas Best Home Health Care Inc
- Amerimed Diabetic Supply Company
- Irene Mass Ametrano
- Anchor Family Dentistry
- Jennifer Anderson
- Melissa Lynn Andric
- Anesthesia Services, P C - Huron Valley Division
- Susan Anker
All providers in Commerce Township, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.