Deluxe Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DELUXE DENTAL

Practice address

3307 Rochester Rd
Royal Oak, MI 48073-2850

Phone

(810) 820-7766

NPI assigned

Dec 22, 2020

Organization subpart

Yes

Parent organization

DELUXE DENTAL ASSOCIATES PLLCAs reported in NPPES

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

Authorized official

Name

Amber Kizy

Title

Owner

Phone

(810) 820-7766

Specialties & licenses 1

Addresses

Part of

Deluxe Dental Associates PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Deluxe Dental Associates PLLC

  • General Practice Dentistry
  • Flint, MI
  • NPI 1376941773
  NPPES parent name

Practitioners 1

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

• Sora Ibrahem Obead, DDS

  • General Practice Dentistry
  • Shelby Township, MI
  • NPI 1437891579
  NPD (past)

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1467049684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 S DORT HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072045",
            "telephone_number": "810-820-7766",
            "fax_number": "810-243-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 ROCHESTER RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732850",
            "telephone_number": "810-820-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELUXE DENTAL ASSOCIATES PLLC",
        "enumeration_date": "2020-12-22",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-820-7766"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Delfoss
• Emilio Delgado
• Stacey Julia Delida, PA
• Jennifer Shafer Delmotte, LLPC, FAODP
• Deltasdh LLC
• Carmen E Demarco, MD
• Alexander Michael Demare, M.D.
• Robert M Demeester, PA-C
• Joseph Paul Demonte, OTR/L
• Matthew Denenberg, MD

• General Practice Dentistry in Royal Oak, MI
• Providers in Royal Oak, 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 Jan 4, 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.