Renewal Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RENEWAL FAMILY DENTAL PLLC

Practice address

22190 Garrison St Ste 201
Dearborn, MI 48124-2235

Phone

(313) 277-8900

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sabah Lillian Gagnon-Saleeby, DDS

Title

Dentist

Phone

(313) 213-2505

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 2

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

• Sabah Lillian Gagnon, DDS

  • Dentist
  • Farmington Hills, MI
  • NPI 1982087953
  NPD
• Edward Gregory Sarkisian, D.D.S.

  • Dentist
  • Dearborn, MI
  • NPI 1255460572
  NPD (past)

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1497347686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGEMONT AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241221",
            "telephone_number": "313-213-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22190 GARRISON ST STE 201",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242235",
            "telephone_number": "313-277-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "GAGNON-SALEEBY",
        "authorized_official_first_name": "SABAH",
        "authorized_official_middle_name": "LILLIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-213-2505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNER OF PRACTICE",
            "identifier": "1982087953",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MacPractice",
            "affiliation": "N",
            "endpointDescription": "And EMR/EHR database system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "22190 Garrison St Ste 201",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481242235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Leigh Reinke
• Remagine Sleep Centers LLC
• Renal Treatment Centers-Illinois Inc. (East Dearborn Dialysis)
• Audrey Marguerite Renaud
• Ronald Louis Rende, DDS
• Renewed Hope Mental Health PLLC (Behavioral Health Services)
• Renewing Your Mind Counseling Services, LLC
• Repair Physical Therapy LLC
• Katherine Anne Repp, NP
• Michelle Repp

• General Practice Dentistry in Dearborn, MI
• Providers in Dearborn, 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 Feb 9, 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.