Academy Family Dental Group, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ACADEMY FAMILY DENTAL GROUP, P.C.

Practice address

18241 Greenfield Rd
Detroit, MI 48235-3121

Phone

(313) 272-1530

Fax

(313) 272-7610

NPI assigned

Sep 27, 2006

Last updated

Apr 10, 2008By 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

Dr. Wendell ScalesNPI 1700977287

Title

President

Phone

(313) 272-1530

Specialties & licenses 1

Addresses

Locations

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.

• Wendell Scales, D.D.S.

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1700977287
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1508957085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18241 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18241 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353121",
            "telephone_number": "313-272-1530",
            "fax_number": "313-272-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY FAMILY DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "SCALES",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-272-1530",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Detroit, MI
• Providers in Detroit, 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 Apr 10, 2008; 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.