Shelby Comfort Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHELBY COMFORT DENTISTRY

Practice address

56625 Van Dyke Ave
Shelby Township, MI 48316-5025

Phone

(586) 286-4848

NPI assigned

Jul 26, 2018

Organization subpart

Yes

Parent organization

SHELBY COMFORT DENTISTRYAs reported in NPPES

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

Authorized official

Name

Ms. Alisa Dorette Hope Burrell

Title

Office Manager / Administrator

Phone

(586) 248-4500

Specialties & licenses 1

Addresses

Part of

Shelby Comfort Dentistry

Locations

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1114404738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56625 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48316",
            "telephone_number": "586-248-4500",
            "fax_number": "586-371-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56625 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165025",
            "telephone_number": "586-286-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COMFORT DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELBY COMFORT DENTISTRY",
        "enumeration_date": "2018-07-26",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "ALISA",
        "authorized_official_middle_name": "DORETTE HOPE",
        "authorized_official_title_or_position": "OFFICE MANAGER / ADMINISTRATOR",
        "authorized_official_telephone_number": "586-248-4500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marzuq Shamsud-Din
• Bradley Gerald Sharp, M.S., L.L.P.
• Erin Shaughnessy, LMSW
• Allison Shaune
• Shelby Comfort Care LLC
• Shelby Counseling, Inc.
• Shelby Creek Pharmacy LLC
• Shelby Dental Care
• Shelby Eyecare Associates PC
• Shelby Family Cosmetic & Restorative Dentistry

• Dental Clinic/Center in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.