Bloomfield Dental Group PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018996 Issued in MI

Legal business name

BLOOMFIELD DENTAL GROUP PC

Practice address

6443 Inkster Rd Ste 176
Bloomfield Hills, MI 48301-1303

Phone

(248) 855-4143

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Jameel Kakos

Title

President

Phone

(248) 855-4143

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Natalia Lynn Karmo, DMD

  • General Practice Dentistry
  • Bloomfield Hills, MI
  • NPI 1992299325
  NPD (past)
• Carly Ann Szurek, DDS

  • Dentist
  • Bloomfield Hills, MI
  • NPI 1780114165
  NPD (past)
• Ly Julie Van, D.D.S.

  • Dentist
  • Ann Arbor, MI
  • NPI 1134572472
  NPD (past)

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1306277363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 INKSTER RD STE 176",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 INKSTER RD STE 176",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011303",
            "telephone_number": "248-855-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "KAKOS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "JAMEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-855-4143",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Therapy, PLLC
• Ashley Bloom
• Lauren Bloom, LMSW
• Bloomfield Consulting, PLLC
• Bloomfield Dental Care, P.C.
• Bloomfield Family
• Bloomfield Foot & Ankle Specialists PLLC
• Bloomfield Hills Care Group, Inc.
• Bloomfield Hills Dental Group PLLC
• Bloomfield Hills Massage LLC

• 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 Dec 2, 2013; 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.