Park Family Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017489 Issued in MI

Legal business name

PARK FAMILY DENTAL, P.C.

Practice address

28350 Gratiot Ave
Roseville, MI 48066-4208

Phone

(248) 755-5700

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mirza M Baig, D.D.S.

Title

President

Phone

(248) 755-5700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1629267679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28350 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664208",
            "telephone_number": "248-755-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28350 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664208",
            "telephone_number": "248-755-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-755-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen A Ouweleen
• Majeed A Paduvana, MD
• Adam Louis Palleschi, D.C., M.S., B.S.
• Heidi Pangborn
• Carl Papa, D.D.S.
• Joung Ho Park, MD
• Wayne Park, LMT
• Lindsey Parks-Plaza
• Rafael Pascual
• Latiece Jesstia Pasley

• General Practice Dentistry in Roseville, MI
• Providers in Roseville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.