Canton Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CANTON DENTAL PLLC

Practice address

5958 N Canton Center Rd Ste 100
Canton, MI 48187-2766

Phone

(734) 899-4000

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Yaser Shaheen

Title

Owner

Phone

(734) 899-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1235858291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6148 MEADOWVIEW DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874750",
            "telephone_number": "313-918-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 N CANTON CENTER RD STE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872766",
            "telephone_number": "734-899-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "YASER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-899-4000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canton BCC LLC
• Canton Center Dental PLLC
• Canton Center Pediatrics
• Canton Center Pharmacy LLC
• Canton Chiropractic Life Center
• Canton Dermatology, P.C.
• Canton Family Chiropractic LLC
• Canton Family Dental PLLC
• Canton Family Health LLC
• Canton Family Medicine and Medical Spa, PLLC

• General Practice Dentistry in Canton, MI
• Providers in Canton, 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 Aug 24, 2022; 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.