White Lake Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WHITE LAKE DENTAL PLLC

Doing business as

White Lake Dental

Practice address

1099 Union Lake Rd
White Lake, MI 48386-4541

Phone

(248) 360-3700

NPI assigned

Jan 23, 2024

Last updated

Jan 23, 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

Fadi Abshara

Title

Owner

Phone

(586) 212-8128

Specialties & licenses 1

Addresses

Other names 1

• White Lake Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan George Thomas, DDS

  • Dentist
  • White Lake, MI
  • NPI 1881864015
  NPD (past)

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1598527855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 UNION LAKE RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 UNION LAKE RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864541",
            "telephone_number": "248-360-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE LAKE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "ABSHARA",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-212-8128"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Lake Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores East, LP (Vision Center 30-2693)
• Christine K Walters, PT
• Mark Wanless
• Michelle A Warr, OT
• Amy West, LMSW-CLINICAL
• White Lake Family Wellness Inc
• White Lake Urgent Care
• Randall Wilkinson
• Gloria Lynne Wilson, RN
• Nancy Wilson, RPH

• General Practice Dentistry in White Lake, MI
• Providers in White Lake, 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 Jan 23, 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.