Organization Active NPI

Spear Dental

  • Dentist
  • Troy, MI
National Provider Identifier
1205636347
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SPEAR DENTAL
Practice address
2885 E Long Lake Rd Ste C
Troy, MI 48085-4100
Phone
(313) 769-5850
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Fadi Haddad
Title
Partner
Phone
(313) 769-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2885 E Long Lake Rd Ste C
Troy, MI 48085-4100

Mailing address

2885 E Long Lake Rd Ste C
Troy, MI 48085-4100

National Provider Directory

National Provider Directory

Locations

2885 E Long Lake Rd
Ste C
Troy, MI 48085
Phone (313) 769-5850

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1205636347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 E LONG LAKE RD STE C",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 E LONG LAKE RD STE C",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854100",
            "telephone_number": "313-769-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "313-769-5850"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.