Active NPI
Associated Dentists PC
- Dentist
- Oxford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29012608
- Legal business name
- ASSOCIATED DENTISTS PC
- Practice address
- 129 S Washington St
Oxford, MI 48371 - Phone
- (248) 628-3700
- NPI assigned
- Nov 24, 2006
- Last updated
- Aug 22, 2020
- 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
- Nizar Naum Mansour, DDS MS
- Title
- President
- Phone
- (248) 628-3700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29012608 | MI | Primary |
Addresses
Primary practice location
129 S Washington St
Oxford, MI 48371
Mailing address
129 S Washington St
Oxford, MI 48371
Phone (248) 628-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12608 | Other | BLUE CROSS |
National Provider Directory
National Provider Directory- Tax ID family
- Associated Dentists PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Southfield, MI
- NPI 1508934340
Locations
129 S Washington St
Oxford, MI 48371
Phone (248) 628-1880
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Southfield, MI
- NPI 1053489807
-
- Dentist
- Lapeer, MI
- NPI 1679956130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366518185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 S WASHINGTON ST",
"city": "OXFORD",
"state": "MI",
"postal_code": "48371",
"telephone_number": "248-628-3700",
"fax_number": "248-628-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 S WASHINGTON ST",
"city": "OXFORD",
"state": "MI",
"postal_code": "48371",
"telephone_number": "248-628-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED DENTISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MANSOUR",
"authorized_official_first_name": "NIZAR",
"authorized_official_middle_name": "NAUM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-628-3700",
"authorized_official_credential": "DDS MS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "29012608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "12608",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.