Organization Active NPI

Fadi Assaf DDS VI PLLC

  • Dental Clinic/Center
  • Troy, MI
National Provider Identifier
1649976077
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FADI ASSAF DDS VI PLLC
Practice address
4101 John R Road
Suite 100
Troy, MI 48085
Phone
(248) 680-0775
Fax
(248) 680-1108
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Mrs. Sofi Gjokaj
Title
Office Manager
Phone
(248) 702-6117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4101 John R Road
Suite 100
Troy, MI 48085

Mailing address

30330 W 12 Mile Rd Ste B
Farmington Hills, MI 48334-3821
Phone (248) 702-6117

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1649976077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30330 W 12 MILE RD STE B",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343821",
            "telephone_number": "248-702-6117",
            "fax_number": "248-702-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 JOHN R ROAD",
            "address_2": "SUITE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-680-0775",
            "fax_number": "248-680-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADI ASSAF DDS VI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "GJOKAJ",
        "authorized_official_first_name": "SOFI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-702-6117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.