Eight Mile Dental Specialists PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EIGHT MILE DENTAL SPECIALISTS PC

Practice address

511 W 8 Mile Rd
Detroit, MI 48203-1004

Phone

(313) 454-4800

Fax

(313) 341-7867

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Leona M Rugenski

Title

Office MGR

Phone

(313) 454-4800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1376843136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38367",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482380367",
            "telephone_number": "313-454-4800",
            "fax_number": "313-341-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031004",
            "telephone_number": "313-454-4800",
            "fax_number": "313-341-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIGHT MILE DENTAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "RUGENSKI",
        "authorized_official_first_name": "LEONA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "313-454-4800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Abdallah Eid, R.PH.
• Jacob George Eide, M.D.
• Kari Eidnes, MA
• Adnan Eidy, DPT
• Jennifer Eifler, CNM
• Megan Anne Eikhoff, R.N.
• Connie Lee Eiland, PT
• Arthur Bradley Eisenbrey III, M.D., PH.D.
• David I Eisenstein, M.D.
• Eisman Clinic PC

• All providers in Detroit, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.