Active NPI
Warren Group Dental Associates PLLC
- General Practice Dentistry
- Warren, MI
National Provider Identifier
1316811599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WARREN GROUP DENTAL ASSOCIATES PLLC
- Practice address
- 21635 Ryan Rd Ste 100
Warren, MI 48091-2792 - Phone
- (586) 800-0055
- NPI assigned
- Oct 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shams Hamama
- Title
- Regional Manager
- Phone
- (248) 910-4819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
21635 Ryan Rd Ste 100
Warren, MI 48091-2792
Mailing address
21635 Ryan Rd Ste 100
Warren, MI 48091-2792
National Provider Directory
National Provider DirectoryLocations
21635 Ryan Rd
Ste 100
Warren, MI 48091
Phone (586) 800-0055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759276800000",
"number": "1316811599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21635 RYAN RD STE 100",
"city": "WARREN",
"state": "MI",
"postal_code": "480912792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21635 RYAN RD STE 100",
"city": "WARREN",
"state": "MI",
"postal_code": "480912792",
"telephone_number": "586-800-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARREN GROUP DENTAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-01",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A",
"authorized_official_last_name": "HAMAMA",
"authorized_official_first_name": "SHAMS",
"authorized_official_title_or_position": "REGIONAL MANAGER",
"authorized_official_telephone_number": "248-910-4819"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.