Wedyan Naseer Brikho, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601431 Issued in MI

Practice address

9115 Telegraph Rd
Taylor, MI 48180-2365

Phone

(313) 908-1788

NPI assigned

Jun 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pro Dental Mi 1 PC

  dba Destiny Dental of Taylor

  • General Practice Dentistry
  • Taylor, MI
  • NPI 1780411058
  NPD
• D2 Dental of Michigan, P.C.

  • General Practice Dentistry
  • Taylor, MI
  • NPI 1588136667
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1326779075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32456 WHITLEY CIR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480881314",
            "telephone_number": "586-625-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 TELEGRAPH RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802365",
            "telephone_number": "313-908-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIKHO",
        "first_name": "WEDYAN",
        "middle_name": "NASEER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheree Braswell
• Liliana Bravo
• Sara Brazzel
• Brighter Smiles
• Brighter Smiles, Inc.
• Megan Brook, OTD
• Brookside Health Center P.C.
• Brookside Health Center PC
• Brookside Health Center, P.C.
• Bradley Joseph Brow, DMD

• Dentist in Taylor, MI
• Providers in Taylor, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.