NPIMap

Organization Active NPI

Farmington Family Dental PLLC

  • Dentist
  • Farmington, MI
National Provider Identifier
1649693284
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20359 Issued in MI
Legal business name
FARMINGTON FAMILY DENTAL PLLC
Practice address
34405 Grand River
Farmington, MI 48335
Phone
(248) 478-3285
Fax
(248) 478-9398
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Dr. Ahmad Deebajah, DDS
Title
Owner
Phone
(248) 478-3285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 20359 MI Primary

Addresses

Primary practice location

34405 Grand River
Farmington, MI 48335

Mailing address

34405 Grand River
Farmington, MI 48335
Phone (248) 478-3285

National Provider Directory

National Provider Directory

Locations

34405 Grand River Ave
Farmington, MI 48335
Phone (248) 478-3285

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1649693284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34405 GRAND RIVER",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "48335",
            "telephone_number": "248-478-3285",
            "fax_number": "248-478-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34405 GRAND RIVER",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "48335",
            "telephone_number": "248-478-3285",
            "fax_number": "248-478-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "DEEBAJAH",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-478-3285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "20359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.