Extra Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EXTRA DENTAL PC

Practice address

8170 23 Mile Rd
Shelby Township, MI 48316-4502

Phone

(847) 794-3355

NPI assigned

Apr 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Lina Yaseen, DDSNPI 1497019848

Title

Dentist/Owner

Phone

(847) 794-3355

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.

• Lina Yaseen, D.D.S

  • General Practice Dentistry
  • Shelby Township, MI
  • NPI 1497019848
  NPD Authorized official

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1598400293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 23 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164502",
            "telephone_number": "847-794-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 23 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164502",
            "telephone_number": "847-794-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "YASEEN",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "847-794-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Therese Eng, OTR/L, CBIS
• Erich T. Howard
• Sheryl M Essenmacher, LMSW
• Kristina Eubanks, LLPC
• Excel Institute of Shelby PC
• Eyeglass World
• Faddi Salim DDS PLLC
• Fadi Assaf DDS V PLLC
• Kirsten J Fanelli, DMD
• Cynthia Ann Faraji-Tajrishi, COTA

• Dental Clinic/Center in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.