Wayne Family Dental Association PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018910 Issued in MI

Legal business name

WAYNE FAMILY DENTAL ASSOCIATION PC

Practice address

35102 W Michigan Ave
Wayne, MI 48184-1785

Phone

(734) 728-8800

NPI assigned

Oct 16, 2008

Last updated

Oct 15, 2020By 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

Dr. Bhavani Swarna, DDSNPI 1033164280

Title

Owner

Phone

(734) 728-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Bhavani Swarna, D.D.S.

  • General Practice Dentistry
  • Wayne, MI
  • NPI 1033164280
  NPD Authorized official

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1447402805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35102 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841785",
            "telephone_number": "734-728-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35102 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841785",
            "telephone_number": "734-728-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE FAMILY DENTAL ASSOCIATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "SWARNA",
        "authorized_official_first_name": "BHAVANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-728-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4887078",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne City Pharmacy LLC (Pharmor Pharmacy- Wayne City)
• Wayne County Health Department
• Wayne County Regional Educational Service Agency
• Wayne County Treasurer Payroll (Wayne County Health Department)
• Wayne County Treasurer Payroll-County of Wayne
• Wayne Family Dental PLLC (village dental)
• Wayne Healthcare LLC (Transitional Health Services of Wayne)
• Wayne Mi Opco LLC
• Wayne Neurology PLC
• Wayne Neuroscience Management, LLC

• General Practice Dentistry in Wayne, MI
• Providers in Wayne, 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 Oct 15, 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.