Deluxe Dental Associates 11-Hamtramck PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DELUXE DENTAL ASSOCIATES 11-HAMTRAMCK PLLC

Doing business as

Deluxe Dental

Practice address

9541 Joseph Campau St
Hamtramck, MI 48212-3437

Phone

(810) 820-7766

Fax

(810) 243-0454

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By 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

Amber Mikha-Kizy, DDS

Title

Owner

Phone

(810) 820-7766

Specialties & licenses 1

Addresses

Other names 1

• Deluxe Dental Doing business as

Locations

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1578301164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 S DORT HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072045",
            "telephone_number": "810-820-7766",
            "fax_number": "810-243-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123437",
            "telephone_number": "810-820-7766",
            "fax_number": "810-243-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE DENTAL ASSOCIATES 11-HAMTRAMCK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "MIKHA-KIZY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-820-7766",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deluxe Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anand Kamal Dampella, DNP, PMHNP-BC, FNP-C
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• General Practice Dentistry in Hamtramck, MI
• Providers in Hamtramck, 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 17, 2024; 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.