Odeta Dinella, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901019605 Issued in MI

Practice address

5556 Metro Pkwy Ste B
Sterling HTS, MI 48310-4110

Phone

(586) 939-5980

Fax

(586) 939-3409

NPI assigned

Jun 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1154524775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 GLORIA ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864925",
            "telephone_number": "734-716-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5556 METRO PKWY STE B",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483104110",
            "telephone_number": "586-939-5980",
            "fax_number": "586-939-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINELLA",
        "first_name": "ODETA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-10",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Cristobal, MSW
• David a. Susko DDS, and Assoc. P.C.
• Holly Daywalt, DPT
• Derek L Bittner DCPC
• Monir Azam Dibai, M.D.
• Micah Duncan-Walker
• Tammy Samuel Dusevic, DO
• Garret Edwards
• ENT Physicians,P.C
• Farrah F Ahmad MD PLLC

• Dentist in Sterling HTS, MI
• Providers in Sterling HTS, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.