Dana Dental DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DANA DENTAL DDS PLLC

Practice address

13874 Grand River Ave
Detroit, MI 48227-3123

Phone

(313) 834-4900

Fax

(313) 899-5314

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Alex Wolicki

Title

Accountant

Phone

(313) 834-4900

Specialties & licenses 1

Addresses

Other names 1

• Metro Dental Specialists Doing business as

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1639959059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27201 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13874 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273123",
            "telephone_number": "313-834-4900",
            "fax_number": "313-899-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA DENTAL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "WOLICKI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "313-834-4900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Damon'S House Inc.
• Mathew Paul Damore, CRNA
• Courtney E Damphouse, FNP-BC
• Jane Ann Damren, R.N.
• Anirudh Reddy Damughatla, DO
• Althea Renee Dancy, MEDICAL ASSISTANT
• Kyra Latorre Dancy
• John Archer Dandridge, LMSW
• Marlisa Dandridge, LPN
• Richard James Dandy, CPRM

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, 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 3, 2023; 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.