Dominika Jarosz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601463 Issued in MI

Practice address

6760 Allen Rd Ste 101
Allen Park, MI 48101-2062

Phone

(313) 928-2500

NPI assigned

Jun 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Dreams PLLC

  • General Practice Dentistry
  • Eastpointe, MI
  • NPI 1407263163
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1285366369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37282 CLUBHOUSE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122240",
            "telephone_number": "248-376-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 ALLEN RD STE 101",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012062",
            "telephone_number": "313-928-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROSZ",
        "first_name": "DOMINIKA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukayna Ismail
• Bryant T Ittiara, D.O.
• Robert Jackson, M.D
• Syed Mohsin Jafri, MD
• Kirti Jain, MD
• Christelle Jeffrey
• Jesus Ortega, M.D., P.L.L.C.
• John N. Evans, DPM, PC
• Aggie Rebecca-Maria Johnson, LLMSW
• Dione Michel Johnson, NP-C

• Dentist in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.