Organization Active NPI

Dentalpro Associates, PLLC

  • Dental Clinic/Center
  • Canton, MI
National Provider Identifier
1598526469
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTALPRO ASSOCIATES, PLLC
Practice address
409 N Canton Center Rd
Canton, MI 48187-5096
Phone
(734) 217-4370
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Mamnoon Ahmed SiddiquiNPI 1336225713
Title
Owner
Phone
(313) 565-0880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

409 N Canton Center Rd
Canton, MI 48187-5096

Mailing address

2211 Monroe St
Dearborn, MI 48124-3007
Phone (313) 565-0880

Other names 1

  • Canton Center Dental, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

409 N Canton Center Rd
Canton, MI 48187
Phone (734) 217-4370

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1598526469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243007",
            "telephone_number": "313-565-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875096",
            "telephone_number": "734-217-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALPRO ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MAMNOON",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-565-0880",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canton Center Dental, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.