White Oak Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18924 Issued in MI

Legal business name

WHITE OAK DENTAL PLLC

Practice address

2600 N M 52
Stockbridge, MI 49285-9766

Phone

(517) 851-8902

Fax

(517) 851-9241

NPI assigned

Feb 21, 2007

Last updated

Oct 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jouraish M Daoud, DMDNPI 1730362492

Title

Owner

Phone

(517) 851-8902

Specialties & licenses 1

Addresses

Other names 1

• White Oak Dental Other name

Locations

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.

• Jouraish Mohammed Daoud, DMD

  • Dentist
  • Stockbridge, MI
  • NPI 1730362492
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1639214299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N M 52",
            "city": "STOCKBRIDGE",
            "state": "MI",
            "postal_code": "492859766",
            "telephone_number": "517-851-8902",
            "fax_number": "517-851-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N M 52",
            "city": "STOCKBRIDGE",
            "state": "MI",
            "postal_code": "492859766",
            "telephone_number": "517-851-8902",
            "fax_number": "517-851-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "DAOUD",
        "authorized_official_first_name": "JOURAISH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-851-8902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "18924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shannon Sood
• Stockbridge Area Ambulance, Inc.
• Stockbridge Area Emergency Services Authority
• Mark K Taylor, CPO
• Amanda Catherine Tilkins, C.O.T.A.
• Wright Care Services Inc

• General Practice Dentistry in Stockbridge, MI
• Providers in Stockbridge, 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 21, 2019; 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.