NPIMap

Organization Active NPI

Farmington Dental PLLC

  • Prosthodontics
  • Farmington Hills, MI
National Provider Identifier
1619100286
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
017104 Issued in MI
Legal business name
FARMINGTON DENTAL PLLC
Practice address
34405 W 12 Mile Rd
Suite 187
Farmington Hills, MI 48331-3391
Phone
(248) 553-9393
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. Ahmad Maalhagh-Fard, DDS,MS
Title
Member
Phone
(248) 553-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 017104 MI Primary

Addresses

Primary practice location

34405 W 12 Mile Rd
Suite 187
Farmington Hills, MI 48331-3391

Mailing address

34405 W 12 Mile Rd
Suite 187
Farmington Hills, MI 48331-3391
Phone (248) 553-9393

National Provider Directory

National Provider Directory

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": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1619100286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34405 W 12 MILE RD",
            "address_2": "SUITE 187",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313391",
            "telephone_number": "248-553-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34405 W 12 MILE RD",
            "address_2": "SUITE 187",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313391",
            "telephone_number": "248-553-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "MAALHAGH-FARD",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-553-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "017104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.