NPIMap

Organization Active NPI

George Atwan Dentistry LLC

  • General Practice Dentistry
  • Commerce Township, MI
National Provider Identifier
1619141256
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016989 Issued in MI
Legal business name
GEORGE ATWAN DENTISTRY LLC
Practice address
2735 Benstein Rd
Commerce Township, MI 48390-1101
Phone
(248) 624-3010
Fax
(248) 624-5886
NPI assigned
Apr 15, 2008
Last updated
Mar 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Doreen L Zaffer
Title
Manager
Phone
(248) 624-3010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2901016989 MI Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 291016802 MI

Addresses

Primary practice location

2735 Benstein Rd
Commerce Township, MI 48390-1101

Mailing address

2735 Benstein Rd
Commerce Township, MI 48390-1101
Phone (248) 624-3010

National Provider Directory

National Provider Directory

Locations

2735 Benstein Rd
Commerce Township, MI 48390
Phone (248) 624-3010

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1619141256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 BENSTEIN RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901101",
            "telephone_number": "248-624-3010",
            "fax_number": "248-624-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 BENSTEIN RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901101",
            "telephone_number": "248-624-3010",
            "fax_number": "248-624-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE ATWAN DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "ZAFFER",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-624-3010"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016989",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "291016802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.