All Star Kids Pediatric Dentistry

Organization Active NPI Dental Clinic/Center · Dearborn Heights, MI

NPI 1285490441 · NPPES record last updated May 23, 2024

Key facts

NPI
1285490441
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
ALL STAR KIDS PEDIATRIC DENTISTRY
Practice address
4925 S Telegraph Rd
Dearborn Heights, MI 48125-2027
Phone
(313) 254-0777
NPI assigned
Feb 26, 2024
Organization subpart
No

Authorized official

Name
Mohammed Sobh, DDS
Title
Owner
Phone
(313) 663-6484

Corporate family (same tax ID) 1

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

Practitioners 1

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

National Provider Directory

Tax ID family
All Star Kids Pediatric Dentistry (2 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

4925 S Telegraph Rd
Dearborn Heights, MI 48125-2027

Mailing address

1849 N Denwood St
Dearborn, MI 48128-1156

Other providers in Dearborn Heights, MI

All providers in Dearborn Heights, MI · Dental Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.