Dental Care Team- Hill Road

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL CARE TEAM- HILL ROAD

Practice address

2290 E Hill Rd
Grand Blanc, MI 48439-5423

Phone

(810) 694-0120

NPI assigned

Aug 4, 2020

Organization subpart

No

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

Authorized official

Name

Ibrahim Jarjoura, DDS

Title

Owner

Phone

(810) 694-0120

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1376153478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395423",
            "telephone_number": "810-694-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395423",
            "telephone_number": "810-694-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE TEAM- HILL ROAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "JARJOURA",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-694-0120",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@dentalcareteam.com",
            "affiliation": "N",
            "address_1": "2290 E Hill Rd",
            "city": "Grand Blanc",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484395423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Saysha Deloney
• Sara J Delvecchio, OTR/L
• Keith Randall Denning, D.C.
• Dental Care Team P C
• Dental Care Team- Fenton Road
• Dental Group of America Specialty Center P.C. (Dental Specialty Center of Grand Blanc)
• Dentistry Etc
• Khyati Desai
• Roberto Desarden, MD
• Desgranges Psychiatric Center

• Dentist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.