Huron Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HURON DENTAL CENTER

Practice address

2345 S Huron Pkwy
Ann Arbor, MI 48104-5124

Phone

(734) 973-9155

NPI assigned

Jun 24, 2022

Last updated

Jun 24, 2022By 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

Shyroze RehemtullaNPI 1710008065

Title

Owner

Phone

(734) 973-9155

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Shyroze Nathoo Rehemtulla, DMD

  • Prosthodontics
  • Ann Arbor, MI
  • NPI 1710008065
  Authorized official Same address or phone

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1487386926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045124",
            "telephone_number": "734-973-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045124",
            "telephone_number": "734-973-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "REHEMTULLA",
        "authorized_official_first_name": "SHYROZE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-973-9155"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710008065",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Dewitt Huntley IV
• Wayne Huntsman, RBT
• Adrienne Hunwick, LCSW
• Hasina Huq, PTA
• Noelle Hurd, M.A.
• Huron River Counseling LLC
• Huron River Psychiatry PC
• Huron Valley Ambulance Inc
• Huron Valley Ambulance Inc
• Huron Valley Consultation Center Inc

• Dental Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, 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 Jun 24, 2022; 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.