Organization Active NPI

American Mobile Dental PC

  • Dentist
  • Southfield, MI
National Provider Identifier
1629166509
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AMERICAN MOBILE DENTAL PC
Practice address
24293 Telegraph Rd Ste 212
Southfield, MI 48033-7903
Phone
(888) 628-5535
Fax
(888) 892-3080
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Mrs. Joy Ashteneau
Title
Vice President
Phone
(888) 628-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

24293 Telegraph Rd Ste 212
Southfield, MI 48033-7903

Mailing address

24293 Telegraph Rd Ste 212
Southfield, MI 48033-7903
Phone (888) 628-5535

National Provider Directory

National Provider Directory

Locations

2525 7th Ave S
Escanaba, MI 49829
Phone (906) 786-0408

3650 Van Buren St
Hudsonville, MI 49426
Phone (616) 669-1520

610 W Elm Ave
#I
Monroe, MI 48162
Phone (734) 241-3660

120 W Arbor View Dr
Spring Arbor, MI 49283
Phone (517) 962-2698

18252 Woodland RDG Dr
N Ottawa
Spring Lake, MI 49456
Phone (616) 842-0770

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1629166509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24293 TELEGRAPH RD STE 212",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480337903",
            "telephone_number": "888-628-5535",
            "fax_number": "888-892-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24293 TELEGRAPH RD STE 212",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480337903",
            "telephone_number": "888-628-5535",
            "fax_number": "888-892-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MOBILE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "ASHTENEAU",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "888-628-5535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.