Contemporary Dentistry Center Dearborn PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CONTEMPORARY DENTISTRY CENTER DEARBORN PLLC

Practice address

5211 Schaefer Rd
Dearborn, MI 48126-3229

Phone

(313) 581-4884

NPI assigned

Nov 23, 2022

Last updated

Jul 30, 2024By 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

Mike Cole

Title

VP Insurance Plan Management

Phone

(727) 424-2990

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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.

• Nader Bazzi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Canton, MI
  • NPI 1619934197
  Medicare reassignment NPD
• Rima Bazzi, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Canton, MI
  • NPI 1356308258
  Medicare reassignment NPD

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1447969928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263229",
            "telephone_number": "313-581-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY DENTISTRY CENTER DEARBORN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Tyler Compton, MD
• Antwanette Conaway
• Donald J Conn, M.D.
• Christine Renee Conner-Bongo, NP-C
• Bintou Conteh
• Contemporary Dentistry P.C.
• Continum Healthcare Servises,MD
• Wendy Contreras, MD
• Convenient DB PC Inc. (Convenient Dental Care)
• Kimberlee Cook

• Dental Clinic/Center in Dearborn, MI
• Providers in Dearborn, 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 Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.