Warrendale Dental Center PC

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

License

2901011576 Issued in MI

Legal business name

WARRENDALE DENTAL CENTER PC

Practice address

6501 Greenfield Rd
#201
Detroit, MI 48228-4780

Phone

(313) 584-5600

NPI assigned

Dec 7, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Robinson

Title

Adminstrator

Phone

(313) 584-5600

Specialties & licenses 1

Addresses

Tax ID family

Warrendale Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Warrendale Dental Center

  • Dentist
  • Detroit, MI
  • NPI 1942519624
  NPD tax ID

Locations

Practitioners 1

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

• Bernard A Johnson, D.D.S.

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1346453693
  NPD (past)

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1265735633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 GREENFIELD RD",
            "address_2": "#201",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 GREENFIELD RD",
            "address_2": "#201",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284780",
            "telephone_number": "313-584-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENDALE DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "313-584-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "MI",
            "license": "2901011576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Warren
• Timothy Justin Warren, LLPC
• Tokaro Warren
• Warrendale Care
• Warrendale Dental Center
• Warrendale Pediatrics
• Warrendale Pharmacy RX LLC
• Allen Hugh Warrick III, CADC-SST
• Sonali Warrick, M.D.
• Indira A Warrier, MD

• Dental Laboratory in Detroit, MI
• Providers in Detroit, MI by specialty
• Dental Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.