Organization Active NPI

Novi Family Dentist, PLLC

  • Dentist
  • Novi, MI
National Provider Identifier
1447836606
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NOVI FAMILY DENTIST, PLLC
Practice address
45005 W Pontiac TRL
Novi, MI 48377-1252
Phone
(248) 669-1040
NPI assigned
Mar 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Dr. Wei Wang, DMD, PHD, FAGDNPI 1598077414
Title
President
Phone
(734) 846-1788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

45005 W Pontiac TRL
Novi, MI 48377-1252

Mailing address

905 W Eisenhower Cir Ste 105
Ann Arbor, MI 48103-6400
Phone (734) 846-1788

National Provider Directory

National Provider Directory

Locations

45005 W Pontiac Trl
Novi, MI 48377
Phone (248) 669-1040

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": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1447836606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W EISENHOWER CIR STE 105",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036400",
            "telephone_number": "734-846-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45005 W PONTIAC TRL",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771252",
            "telephone_number": "248-669-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVI FAMILY DENTIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "WEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-846-1788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PHD, FAGD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.