Organization Active NPI

Asb Dentistry PLLC

  • Dental Clinic/Center
  • Southfield, MI
National Provider Identifier
1366183022
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ASB DENTISTRY PLLC
Practice address
29425 Northwestern Hwy Ste 310
Southfield, MI 48034-1000
Phone
(248) 354-3500
NPI assigned
Apr 6, 2022
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Dr. Ali S Beydoun, DDSNPI 1326429853
Title
Owner
Phone
(313) 415-8089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

29425 Northwestern Hwy Ste 310
Southfield, MI 48034-1000

Mailing address

29425 Northwestern Hwy Ste 310
Southfield, MI 48034-1000
Phone (248) 354-3500

National Provider Directory

National Provider Directory
Tax ID family
Asb Dentistry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

29425 Northwestern Hwy
Ste 310
Southfield, MI 48034
Phone (248) 354-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1366183022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29425 NORTHWESTERN HWY STE 310",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341000",
            "telephone_number": "248-354-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29425 NORTHWESTERN HWY STE 310",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341000",
            "telephone_number": "248-354-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASB DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-415-8089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.