Organization Active NPI

Alan R. Faber Jr. DDS PC

  • Dental Clinic/Center
  • Detroit, MI
National Provider Identifier
1417560657
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALAN R. FABER JR. DDS PC
Practice address
8191 E Jefferson Ave
Detroit, MI 48214-2610
Phone
(313) 822-8680
Fax
(313) 822-8682
NPI assigned
Aug 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Dr. Alan Robert Faber Jr., DDS
Title
President
Phone
(313) 822-8680

Specialties & licenses 1

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

Addresses

Primary practice location

8191 E Jefferson Ave
Detroit, MI 48214-2610

Mailing address

8191 E Jefferson Ave
Detroit, MI 48214-2610
Phone (313) 822-8680

Other names 1

  • Dr Faber Dental Center Other name

National Provider Directory

National Provider Directory

Locations

8191 E Jefferson Ave
Detroit, MI 48214
Phone (313) 822-8680

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1417560657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142610",
            "telephone_number": "313-822-8680",
            "fax_number": "313-822-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142610",
            "telephone_number": "313-822-8680",
            "fax_number": "313-822-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN R. FABER JR. DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "FABER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-822-8680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Faber Dental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.