Organization Active NPI

Nunu Dental PLLC

  • General Practice Dentistry
  • Roseville, MI
National Provider Identifier
1265170526
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NUNU DENTAL PLLC
Practice address
27115 Gratiot Ave
Roseville, MI 48066-2900
Phone
(586) 771-5880
Fax
(586) 771-5882
NPI assigned
May 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Dr. Julie Samir Nunu, DMDNPI 1801295910
Title
Doctor
Phone
(586) 771-5880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

27115 Gratiot Ave
Roseville, MI 48066-2900

Mailing address

27115 Gratiot Ave
Roseville, MI 48066-2900
Phone (586) 771-5880

Other names 1

  • Nunu Dental Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1265170526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27115 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662900",
            "telephone_number": "586-771-5880",
            "fax_number": "586-771-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27115 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662900",
            "telephone_number": "586-771-5880",
            "fax_number": "586-771-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUNU DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "NUNU",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "SAMIR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "586-771-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nunu Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Nunu Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.