Jewell Dental of Eastpointe

Primary specialty

DentistTaxonomy code 122300000X

License

17336 Issued in MI

Legal business name

JEWELL DENTAL OF EASTPOINTE

Practice address

20770 Kelly Rd
Eastpointe, MI 48021-3114

Phone

(586) 778-6666

NPI assigned

Aug 8, 2008

Last updated

Aug 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reginald Bernard Jewell, DDSNPI 1053527812

Title

President

Phone

(586) 778-6666

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Reginald Bernard Jewell, DDS

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1053527812
  Authorized official Same address or phone
• Rame Farah Marouf, D.D.S

  • General Practice Dentistry
  • Eastpointe, MI
  • NPI 1043537673
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1275789315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39500 W 14 MILE RD",
            "address_2": "SUITE 307",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903908",
            "telephone_number": "313-535-7770",
            "fax_number": "313-535-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20770 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213114",
            "telephone_number": "586-778-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWELL DENTAL OF EASTPOINTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-778-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "17336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda James-Thurman, MSW
• Mary Janke
• Johnnisha Jenkins
• Scott Jenner
• Jessica Belo PHD
• JLW Transport & Logistics LLC.
• Shantalea Johns, ED. D, LMSW
• Johnson Compassionate Care Services
• Adama Johnson
• Chantee Johnson

• Dentist in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.