Organization Active NPI

Warren Group Dental Associates PLLC

  • General Practice Dentistry
  • Warren, MI
National Provider Identifier
1316811599
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Oct 1, 2025

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.