Southfield Dental Care P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTHFIELD DENTAL CARE P.C.

Practice address

26561 W. 12 Mile Rd. Ste. 105
Southfield, MI 48034

Phone

(248) 864-7400

NPI assigned

Aug 30, 2012

Last updated

Aug 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shams Hamama

Title

Office Manager

Phone

(586) 755-4310

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sahar A Fardous, DDS

  • General Practice Dentistry
  • Southfield, MI
  • NPI 1053759910
  NPD (past)
• Rana Adel Rabban

  • Dentist
  • Southfield, MI
  • NPI 1003239856
  NPD (past)
• Tasha Batts, D.D.S.

  • Pediatric Dentistry
  • Belton, TX
  • NPI 1861804072
  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1417206947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26561 W. 12 MILE RD. STE. 105",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-864-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26561 W. 12 MILE RD. STE. 105",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-864-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHFIELD DENTAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "HAMAMA",
        "authorized_official_first_name": "SHAMS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-755-4310"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Southall, MD
• Southeast Home Health Care, L.L.C
• Southeast Rehabilitation and Physical Therapy Inc. (Southeast Rehabilitation)
• Southfield Center for Intergrated Musculoskeletal Injury PC
• Southfield City Urgent Care PC
• Southfield Dental Center PC
• Southfield Dental PLLC
• Southfield Essential Care PLLC
• Southfield Family Dental Center
• Southfield Family Dental Center PLLC

• Dental Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.