Fadi Assaf II D.D.S. PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017447 Issued in MI

Legal business name

FADI ASSAF II D.D.S. PLLC

Practice address

30330 W 12 Mile Rd
Suite B
Farmington Hills, MI 48334-3821

Phone

(248) 702-6117

Fax

(248) 702-6118

NPI assigned

Feb 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Fadi Assaf, D.D.S.NPI 1871602854

Title

Owner

Phone

(248) 702-6117

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Farmington hills dental Office Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fadi Assaf, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Farmington Hills, MI
  • NPI 1871602854
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1407395833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30330 W 12 MILE RD",
            "address_2": "SUITE B",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343821",
            "telephone_number": "248-702-6117",
            "fax_number": "248-702-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30330 W 12 MILE RD",
            "address_2": "SUITE B",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343821",
            "telephone_number": "248-702-6117",
            "fax_number": "248-702-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADI ASSAF II D.D.S. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "ASSAF",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-702-6117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2901017447",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington hills dental Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Franki Leanna Facker
• Olayemi Fadahunsi
• Carina Dagher Fadel, MD
• Alissa Fadell
• Hadil Fadhl
• Fadi Ibrahim, MD PC
• Steven Joseph Fadoir, PH.D.
• Joy Fagan
• Kaylin Fagan
• Oluwatobiloba Fagbewesa

• General Practice Dentistry in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.