My Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018613 Issued in MI

Legal business name

MY FAMILY DENTAL PLLC

Practice address

626 N Crooks Rd
Clawson, MI 48017-1310

Phone

(586) 939-7788

Fax

(586) 303-0053

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Nabih Kizy

Title

Manager

Phone

(586) 939-7788

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1548612872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752654",
            "telephone_number": "586-939-7788",
            "fax_number": "586-303-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N CROOKS RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171310",
            "telephone_number": "586-939-7788",
            "fax_number": "586-303-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "NABIH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-939-7788"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin M Moherek, MD
• Jacquelyn Mary Murphy, AGACNP
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• General Practice Dentistry in Clawson, MI
• Providers in Clawson, 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 Jul 11, 2016; 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.