Macomb Dental Group PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MACOMB DENTAL GROUP PLLC

Practice address

37734 Van Dyke Ave
Sterling Heights, MI 48312-1839

Phone

(313) 699-0275

NPI assigned

Apr 28, 2023

Organization subpart

No

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

Authorized official

Name

Younis Mohamed

Title

Dentist

Phone

(313) 699-0275

Specialties & licenses 1

Addresses

Other names 1

• Macomb Dental Group Doing business as

Locations

Practitioners 1

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

• Rana Elsamadouny

  • General Practice Dentistry
  • Sterling Heights, MI
  • NPI 1518707280
  NPD

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1487342218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37734 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37734 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121839",
            "telephone_number": "313-699-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "YOUNIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-699-0275"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macomb Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Mack
• Brian Macks
• Macomb Chiropractic Centers, P.C.
• Macomb County Community Health
• Macomb County Community Mental Health
• Macomb Emergency Dental Clinic PC
• Macomb Infectious Disease Specialists PLLC
• Macomb Medical Clinic PC
• Macomb Pharmacy, Inc.
• Macomb Physicians Group, PLLC

• Dental Clinic/Center in Sterling Heights, MI
• Providers in Sterling Heights, 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 Apr 28, 2023; 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.