Ma Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MA DENTAL PLLC

Doing business as

Ma dental pllc

Practice address

6501 Greenfield Rd
Detroit, MI 48228-4780

Phone

(313) 424-4470

Fax

(313) 281-2225

NPI assigned

Jun 2, 2020

Organization subpart

No

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

Authorized official

Name

Marwa Jaber, DDS

Title

Dentist

Phone

(313) 977-0291

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ma dental pllc Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1295359529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284780",
            "telephone_number": "313-424-4470",
            "fax_number": "313-281-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284780",
            "telephone_number": "313-424-4470",
            "fax_number": "313-281-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "JABER",
        "authorized_official_first_name": "MARWA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-977-0291",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NOI",
            "identifier": "1245600253",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Server",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6501 Greenfield Rd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482284780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ma dental pllc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• M&a Es Llcsquare Non Medical Health Servic
• M&D Wellness Administration Services L3C
• M&M Mobile Phlebotomy LLC
• M&S Safe Space
• M&W Preservation Inc
• Ma Home LLC
• Marson Ma III, M.D.
• Maac Sales LLC
• Ahmadali Maalhagh-Fard, DDS, MS
• Laura Maria Maalouf, MA, LLPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.