Safari Kids Dental PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SAFARI KIDS DENTAL PLLC

Practice address

44110 W 12 Mile Rd Ste 200
Novi, MI 48377-2614

Phone

(734) 454-9200

Fax

(734) 454-9200

NPI assigned

Dec 27, 2018

Organization subpart

No

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

Authorized official

Name

Nicole Teifer, DDS MSD

Title

Owner

Phone

(734) 454-9200

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1316419674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44110 W 12 MILE RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772614",
            "telephone_number": "734-454-9200",
            "fax_number": "734-378-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44110 W 12 MILE RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772614",
            "telephone_number": "734-454-9200",
            "fax_number": "734-454-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFARI KIDS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "TEIFER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-454-9200",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sushma Sadasivan, M.D.
• April Sadler
• Samantha Saechao
• Diana Saenz
• Suzanne Saether
• Mohiman Saffar, MD
• Revard Joseph Saffo
• Tracy M Safranski
• Sage Physical Therapy and Wellness LLC
• Giti Bharati Sahoo

• Pediatric Dentistry in Novi, MI
• Providers in Novi, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.