Associated Dentists PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ASSOCIATED DENTISTS PC

Practice address

28437 Greenfield Rd
Suite 101
Southfield, MI 48076

Phone

(248) 557-5461

Fax

(248) 559-3163

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Nizar Naum Mansour, DDS MSNPI 1053489807

Title

President

Phone

(248) 557-5461

Specialties & licenses 1

Addresses

Tax ID family

Associated Dentists PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Associated Dentists PC

  • Dentist
  • Oxford, MI
  • NPI 1366518185
  NPD tax ID

Locations

Practitioners 1

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

• Nizar Naum Mansour, DDS MS

  • Dentist
  • Southfield, MI
  • NPI 1053489807
  NPD (past) Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1508934340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28437 GREENFIELD RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-557-5461",
            "fax_number": "248-559-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28437 GREENFIELD RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-557-5461",
            "fax_number": "248-559-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "NIZAR",
        "authorized_official_middle_name": "NAUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-557-5461",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assistance 1 Home Care Services, LTD.
• Assisted Daily Living Home Care LLC
• Assisted Living Group, LLC
• Assisting Hands
• Associated Clinics PC
• Associated Foot Ortho Health Center PC
• Associated Home Services, Inc.
• Associated Internists PC
• Associated Medical Care & Services Inc.
• Associated Medical Inc

• General Practice Dentistry in Southfield, MI
• Providers in Southfield, 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 Sep 27, 2012; 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.