Paul Dental Group, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PAUL DENTAL GROUP, PC

Practice address

3704 E 8 Mile Rd
Detroit, MI 48234-1007

Phone

(313) 891-1900

Fax

(313) 891-2011

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Paul Agyekum Sr., DDS

Title

Dentist

Phone

(313) 891-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ryan Eight Mile Family Dentistry Doing business as

Electronic endpoints 4

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1437876125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341007",
            "telephone_number": "313-891-1900",
            "fax_number": "313-891-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341007",
            "telephone_number": "313-891-1900",
            "fax_number": "313-891-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "AGYEKUM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-891-1900",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12292",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rdentistry@sbcglobal.net",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2931 Rambling Way",
            "city": "Bloomfield Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483021049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdentistry@sbcglobal.net",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "address_1": "2931 Rambling Way",
            "city": "Bloomfield Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483021049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@@@&&&",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2931 Rambling Way",
            "city": "Bloomfield Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483021049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "rdentistry@sbcglobal.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2931 Rambling Way",
            "city": "Bloomfield Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483021049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ryan Eight Mile Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Marie Patton, LBSW
• Dhir Patwa, MD
• Manasi Sanjay Patwardhan, M.D.
• Sanjay Chintaman Patwardhan, M.D
• Diane Patzer
• Paul Dental Group, PC
• Paul Makela, M.D., P.C.
• Paul Prescriptions Pharmacy LC
• Paul Rotarius Inc
• Andrina Veronica Paul

• Dental Clinic/Center in Detroit, MI
• Providers in Detroit, 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 Oct 24, 2022; 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.