Midwestern Dental of Warren

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

N/A

Legal business name

MIDWESTERN DENTAL OF WARREN

Practice address

7591 E 9 Mile Rd
Warren, MI 48091-2644

Phone

(586) 759-3030

Fax

(586) 759-3744

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

John Morgan Jr.

Title

Administrative Director

Phone

(313) 582-8150

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Pooja Satish Gandhi, DMD

  • General Practice Dentistry
  • Southfield, MI
  • NPI 1568915486
  NPD (past)
• Carmen O'Malley-Folin, DDS

  • General Practice Dentistry
  • Warren, MI
  • NPI 1548288426
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598714776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263249",
            "telephone_number": "313-582-8150",
            "fax_number": "313-582-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7591 E 9 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912644",
            "telephone_number": "586-759-3030",
            "fax_number": "586-759-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN DENTAL OF WARREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "313-582-8150",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midtown Dental Center PC
• Midwest Family Diagnostics PLC
• Midwest Family Practices, PLC
• Midwest Home Care Services LLC
• Midwest Multispecialty Institute PLLC
• Ikram Mikhael
• Veronica Marie Miks, MD
• Colleen Ann Mikula, NP
• Frances Militello
• Millennium Treatment Services LLC

• General Practice Dentistry in Warren, MI
• Providers in Warren, 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 Aug 22, 2020; 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.