New Farmington Group Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NEW FARMINGTON GROUP DENTAL PLLC

Doing business as

New Warren Group Dental Pllc

Practice address

21635 Ryan Rd
Warren, MI 48091-2788

Phone

(248) 910-4819

NPI assigned

Mar 17, 2025

Organization subpart

No

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

Authorized official

Name

Shams Hamama

Title

Regional Manager

Phone

(248) 910-4819

Specialties & licenses 1

Addresses

Other names 1

• New Warren Group Dental Pllc Doing business as

Locations

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1659171882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59041 GRATIOT AVE",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "480482057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21635 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912788",
            "telephone_number": "248-910-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FARMINGTON GROUP DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "HAMAMA",
        "authorized_official_first_name": "SHAMS",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "248-910-4819"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Warren Group Dental Pllc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Warren Group Dental Pllc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.