Active NPI
My Family Dental Novi PLLC
- General Practice Dentistry
- Southfield, MI
National Provider Identifier
1376096339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MY FAMILY DENTAL NOVI PLLC
- Practice address
- 18800 W 10 Mile Rd
Southfield, MI 48075-2654 - Phone
- (248) 569-6304
- NPI assigned
- Jul 26, 2016
- Last updated
- Jul 26, 2016
- 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
- Ephy Weinberg
- Title
- General Manager
- Phone
- (412) 849-3919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
18800 W 10 Mile Rd
Southfield, MI 48075-2654
Mailing address
24033 Meadowbrook Rd
Novi, MI 48375-3456
Phone (248) 569-6304
National Provider Directory
National Provider DirectoryLocations
24033 Meadowbrook Rd
Novi, MI 48375
Phone (248) 347-3700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469491200000",
"number": "1376096339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24033 MEADOWBROOK RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483753456",
"telephone_number": "248-569-6304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18800 W 10 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752654",
"telephone_number": "248-569-6304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY FAMILY DENTAL NOVI PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-26",
"last_updated": "2016-07-26",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "EPHY",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "412-849-3919"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"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 Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.