Organization Active NPI

Samano & Kejbou Dental, PC

Doing business as Bloomfield Hills Dental Associates

  • General Practice Dentistry
  • Bloomfield Hills, MI
National Provider Identifier
1639004146
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAMANO & KEJBOU DENTAL, PC
Doing business as
Bloomfield Hills Dental Associates
Practice address
36700 Woodward Ave Ste 200
Bloomfield Hills, MI 48304-0930
Phone
(248) 290-2900
Fax
(248) 290-2904
NPI assigned
Jun 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Lacey Savaya
Title
Manager/Credentialing
Phone
(248) 290-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

36700 Woodward Ave Ste 200
Bloomfield Hills, MI 48304-0930

Mailing address

36700 Woodward Ave Ste 200
Bloomfield Hills, MI 48304-0930
Phone (248) 290-2900

Other names 1

  • Bloomfield Hills Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

36700 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 290-2900

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1639004146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36700 WOODWARD AVE STE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040930",
            "telephone_number": "248-290-2900",
            "fax_number": "248-290-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36700 WOODWARD AVE STE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040930",
            "telephone_number": "248-290-2900",
            "fax_number": "248-290-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANO & KEJBOU DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "SAVAYA",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "MANAGER/CREDENTIALING",
        "authorized_official_telephone_number": "248-290-2900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Hills Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.