Organization Active NPI

Heritage Family Dentistry PLLC

  • Dental Clinic/Center
  • Canton, MI
National Provider Identifier
1154048882
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HERITAGE FAMILY DENTISTRY PLLC
Practice address
49959 Cherry Hill Rd
Canton, MI 48188
Phone
(734) 999-0122
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Amer Abusabha, DDSNPI 1639843618
Title
Owner
Phone
(313) 203-6305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

49959 Cherry Hill Rd
Canton, MI 48188

Mailing address

49959 Cherry Hill Rd
Canton, MI 48188

Other names 1

  • Heritage Family Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL heritagedentalmi@gmail.com

National Provider Directory

National Provider Directory

Locations

49959 Cherry Hill Rd
Canton, MI 48188
Phone (734) 999-0122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1154048882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49959 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49959 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "734-999-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "ABUSABHA",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-203-6305",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "heritagedentalmi@gmail.com",
            "affiliation": "N",
            "address_1": "49959 Cherry Hill rd",
            "city": "Canton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heritage Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.