Team Dental Management, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TEAM DENTAL MANAGEMENT, LLC

Practice address

30021 Greenfield Rd
1St Floor
Southfield, MI 48076-1524

Phone

(248) 787-7070

NPI assigned

May 29, 2009

Organization subpart

No

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

Authorized official

Name

Fadi Nassar

Title

Member

Phone

(248) 787-7070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1255567681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1873",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480121873",
            "telephone_number": "248-787-7070",
            "fax_number": "248-353-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30021 GREENFIELD RD",
            "address_2": "1ST FLOOR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761524",
            "telephone_number": "248-787-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM DENTAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-787-7070"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Southfield, MI
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• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.