Qualitas Dental Group, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

QUALITAS DENTAL GROUP, PC

Practice address

17199 N Laurel Park Dr
Suite 200
Livonia, MI 48152-2683

Phone

(734) 432-9849

Fax

(734) 953-0412

NPI assigned

Feb 12, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Daniel K Timmons

Title

President

Phone

(734) 432-9849

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1154653319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17199 N LAUREL PARK DR",
            "address_2": "SUITE 200",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522683",
            "telephone_number": "734-432-9849",
            "fax_number": "734-953-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17199 N LAUREL PARK DR",
            "address_2": "SUITE 200",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522683",
            "telephone_number": "734-432-9849",
            "fax_number": "734-953-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITAS DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-432-9849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle A Puzon, BEHAVIOR TECHNICIAN
• Molly Nichole Pylar, BCBA
• Jamil Ahmad Qarqash, MBBS
• Batool Qayumi
• Sultan Qiblawi, MD, MBA
• Quality Care Consulting
• Quantum Homecare, Inc.
• Quantum Hospice Care, Inc.
• Sydney Michelle Quario
• Caitlin Therese Quenneville, LMSW

• General Practice Dentistry in Livonia, MI
• Providers in Livonia, 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 12, 2010; 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.