Individual provider Active NPI

Eugenia Adlai, D.D.S.

  • General Practice Dentistry
  • Southfield, MI
National Provider Identifier
1396921094
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016198 Issued in MI
Practice address
26699 W 12 Mile Rd
Suite 105
Southfield, MI 48034-1578
Phone
(248) 880-1093
NPI assigned
Jan 14, 2008
Last updated
Jul 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901016198 MI Primary

Addresses

Primary practice location

26699 W 12 Mile Rd
Suite 105
Southfield, MI 48034-1578

Mailing address

26699 W 12 Mile Rd
Suite 105
Southfield, MI 48034-1578
Phone (248) 880-1093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901016198MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Dentistry PLLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1396921094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26699 W 12 MILE RD",
            "address_2": "SUITE 105",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341578",
            "telephone_number": "248-880-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26699 W 12 MILE RD",
            "address_2": "SUITE 105",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341578",
            "telephone_number": "248-880-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLAI",
        "first_name": "EUGENIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016198",
            "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 20, 2011; 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.