Amir Nafso DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AMIR NAFSO DDS PC

Doing business as

Bloomfield Hills Dental Associates

Practice address

36700 Woodward Ave Ste 200
Bloomfield Hills, MI 48304-0930

Phone

(248) 290-2900

Fax

(248) 290-2904

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Lacey Savaya

Title

Billing Specialist

Phone

(248) 422-3200

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Bloomfield Hills Dental Associates Doing business as

Locations

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1295984177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36700 WOODWARD AVE STE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040930",
            "telephone_number": "248-290-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36700 WOODWARD AVE STE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040930",
            "telephone_number": "248-290-2900",
            "fax_number": "248-290-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR NAFSO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "SAVAYA",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "248-422-3200"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20080125976967",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008012930092",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20080125078770",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20080125773595",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Hills Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.