Organization Active NPI

Alkass Dental Group Waterford

  • Dental Clinic/Center
  • Waterford, MI
National Provider Identifier
1619500436
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALKASS DENTAL GROUP WATERFORD
Doing business as
Alkass Dental Group Waterford
Practice address
1132 Voorheis Rd
Waterford, MI 48328-3944
Phone
(248) 682-6911
NPI assigned
Feb 20, 2020
Last updated
Feb 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Alexander J Alkass, DDSNPI 1578083200
Title
Owner
Phone
(586) 381-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1132 Voorheis Rd
Waterford, MI 48328-3944

Mailing address

1132 Voorheis Rd
Waterford, MI 48328-3944
Phone (248) 682-6911

Other names 1

  • Alkass Dental Group Waterford Doing business as

National Provider Directory

National Provider Directory

Locations

1132 Voorheis Rd
Waterford, MI 48328
Phone (248) 682-6911

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1619500436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 VOORHEIS RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283944",
            "telephone_number": "248-682-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 VOORHEIS RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283944",
            "telephone_number": "248-682-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALKASS DENTAL GROUP WATERFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "ALKASS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-381-2220",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alkass Dental Group Waterford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

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