Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

License

2901010959 Issued in MI

Legal business name

DENTAL INC

Practice address

25225 W 7 Mile Rd
Suite 200
Redford, MI 48240

Phone

(313) 541-3004

Fax

(313) 541-3038

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daryl L Duncan, DDS

Title

Owner

Phone

(313) 541-3004

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619044237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25225 W 7 MILE RD",
            "address_2": "SUITE 200",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "48240",
            "telephone_number": "313-541-3004",
            "fax_number": "313-541-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25225 W 7 MILE RD",
            "address_2": "SUITE 200",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "48240",
            "telephone_number": "313-541-3004",
            "fax_number": "313-541-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-541-3004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901010959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4210113",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "D800297",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Davis
• Kejuan Deshawn Davis
• Abigail Dawson
• James Walter Decapite, D.D.S.
• Deliverance Home Care Agency
• Dental Inc II, PC
• Dermatology Center PC
• Savanah Deshano, NP
• Court'Nee Ann Desmond, MSN-FNP-C
• Shea Desso, LPC

• Dentist in Redford, MI
• Providers in Redford, MI by specialty
• Dentist 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.