My Urgent Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MY URGENT DENTISTRY PLLC

Practice address

21100 Allen Rd
Suite 2
Woodhaven, MI 48183-1694

Phone

(877) 734-3131

Fax

(734) 675-7128

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Arestea A Kakaris, DDS

Title

Sole Member/Dentist

Phone

(877) 734-3131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1124391909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21100 ALLEN RD",
            "address_2": "SUITE 2",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831694",
            "telephone_number": "877-734-3131",
            "fax_number": "734-675-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21100 ALLEN RD",
            "address_2": "SUITE 2",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831694",
            "telephone_number": "877-734-3131",
            "fax_number": "734-675-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY URGENT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "KAKARIS",
        "authorized_official_first_name": "ARESTEA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER/DENTIST",
        "authorized_official_telephone_number": "877-734-3131",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Woodhaven, MI
• Providers in Woodhaven, 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 Feb 9, 2012; 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.