Organization Active NPI

Nye Dental of Clinton PLLC

Doing business as Clinton Town Dental Family-Cosmetic- Emergency-Invisalign

  • Dental Clinic/Center
  • Clinton TWP, MI
National Provider Identifier
1376294975
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NYE DENTAL OF CLINTON PLLC
Doing business as
Clinton Town Dental Family-Cosmetic- Emergency-Invisalign
Practice address
41840 Hayes Rd
Clinton TWP, MI 48038-1876
Phone
(215) 821-5073
NPI assigned
Jan 14, 2022
Last updated
Jan 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Samer Anbaki
Title
Manager
Phone
(734) 374-2070

Specialties & licenses 1

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

Addresses

Primary practice location

41840 Hayes Rd
Clinton TWP, MI 48038-1876

Mailing address

41840 Hayes Rd
Clinton TWP, MI 48038-1876
Phone (215) 821-5073

Other names 1

  • Clinton Town Dental Family-Cosmetic- Emergency-Invisalign Doing business as

National Provider Directory

National Provider Directory

Locations

41840 Hayes Rd
Clinton Twp, MI 48038
Phone (215) 821-5073

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1376294975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41840 HAYES RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381876",
            "telephone_number": "215-821-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41840 HAYES RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381876",
            "telephone_number": "215-821-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYE DENTAL OF CLINTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "ANBAKI",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-374-2070"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Town Dental Family-Cosmetic- Emergency-Invisalign",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.