Salwa Atwan, DDS MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901016802 Issued in MI

Practice address

9404 N Sheldon Rd
Plymouth, MI 48170-4057

Phone

(734) 414-9554

Fax

(734) 414-9574

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1528171683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45361 OAK FOREST DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 N SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704057",
            "telephone_number": "734-414-9554",
            "fax_number": "734-414-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWAN",
        "first_name": "SALWA",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901016802",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "16802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4274587",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talisha Atanacio
• Athletico LTD
• Atsalis Dental Excellence
• George Nicholas Atsalis, D.D.S.
• Reyna Michelle Atton, MSW, LCSW
• Audiology Services Company USA, LLC
• Anisia Austin
• Ashley Diana Avant
• Adrian Avila
• Ameel Y Awnallah

• Pediatric Dentistry in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.