Dearborn Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

2901018884 Issued in MI

Legal business name

DEARBORN DENTAL GROUP PC

Practice address

7247 Schaefer Rd
Dearborn, MI 48126

Phone

(313) 584-3210

Fax

(313) 584-0735

NPI assigned

Sep 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nader Baydoun, D.D.S.

Title

Owner

Phone

(313) 584-3210

Specialties & licenses 1

Addresses

Other names 1

• Dearborn Dental Group Former legal business name

Locations

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1215210232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7247 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-231-9994",
            "fax_number": "313-584-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7247 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-584-3210",
            "fax_number": "313-584-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "BAYDOUN",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-584-3210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dearborn Dental Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dearborn Clinical Associates
• Dearborn Community Care Pharmacy LLC
• Dearborn Community Dental Center P.C.
• Dearborn Community Pharmacy LLC
• Dearborn Dental Care
• Dearborn Dental Group West
• Dearborn Ear Nose and Throat Clinic
• Dearborn Family Clinic, P.C.
• Dearborn Family Dental LLC
• Dearborn Family Dentistry PC

• 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 Dec 10, 2012; 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.