Modern American Dental Clinic PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MODERN AMERICAN DENTAL CLINIC PC

Practice address

14350 W Warren
Dearborn, MI 48126

Phone

(313) 582-1919

Fax

(313) 582-0300

NPI assigned

Oct 11, 2006

Last updated

Jan 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nabil Berry, DENTIST DDSNPI 1255413670

Title

Dentist Owner

Phone

(313) 582-1919

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nabil Berry, DDS

  • Dentist
  • Dearborn, MI
  • NPI 1255413670
  Authorized official Same address or phone

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1164510129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 W WARREN",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-582-1919",
            "fax_number": "313-582-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 W WARREN",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-582-1919",
            "fax_number": "313-582-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN AMERICAN DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "313-582-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Eye Care, LLC (Seen Vision Care)
• Mobile Physician Group, PLLC
• Melissa Daria Moccia-Patton, D.D.S.
• Romulo M Mocorro Jr., CRNA
• Modern American Dental Clinic P. C.
• Modern Physical Therapy & Rehab, Inc.
• Modern Psychiatry PC
• Miranda Mae Moffat
• Leslie Marie Mofrad, RN , MSN, CPNP
• Meagan Mogalli

• Dentist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.