Active NPI
Dam Family Dental, PLLC
- Dental Clinic/Center
- Royal Oak, MI
National Provider Identifier
1558061002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DAM FAMILY DENTAL, PLLC
- Practice address
- 1200 S Washington Ave
Royal Oak, MI 48067-3222 - Phone
- (248) 543-7070
- Fax
- (248) 543-3520
- NPI assigned
- Mar 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Lynn Parks
- Title
- Operations Manager
- Phone
- (517) 231-0028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1200 S Washington Ave
Royal Oak, MI 48067-3222
Mailing address
1200 S Washington Ave
Royal Oak, MI 48067-3222
Phone (248) 543-7070
Other names 1
- Royal Oak Family Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Lansing, MI
- NPI 1235624073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677801600000",
"number": "1558061002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S WASHINGTON AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673222",
"telephone_number": "248-543-7070",
"fax_number": "248-543-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S WASHINGTON AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673222",
"telephone_number": "248-543-7070",
"fax_number": "248-543-3520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAM FAMILY DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-03",
"last_updated": "2023-03-03",
"certification_date": "2023-03-01",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "517-231-0028"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Royal Oak Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.