NPIMap

Organization Active NPI

Amazing Dental PLLC

  • Dental Clinic/Center
  • Southfield, MI
National Provider Identifier
1275018087
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMAZING DENTAL PLLC
Practice address
22972 Lahser Rd Ste 1
Southfield, MI 48033-4408
Phone
(248) 843-9191
NPI assigned
Sep 27, 2018
Last updated
May 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Nawras Najor
Title
Owner
Phone
(248) 467-7072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

22972 Lahser Rd Ste 1
Southfield, MI 48033-4408

Mailing address

1805 Fort St
Wyandotte, MI 48192-3545
Phone (248) 467-7072

National Provider Directory

National Provider Directory
Tax ID family
Amazing Dental PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1805 Fort St
Wyandotte, MI 48192
Phone (734) 283-1263

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1275018087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 FORT ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923545",
            "telephone_number": "248-467-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22972 LAHSER RD STE 1",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334408",
            "telephone_number": "248-843-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "NAJOR",
        "authorized_official_first_name": "NAWRAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-467-7072"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.