A1 Family Dentistry of Clinton Township,PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

A1 FAMILY DENTISTRY OF CLINTON TOWNSHIP,PLC

Practice address

15980 19 Mile Rd
Clinton Township, MI 48038-1140

Phone

(586) 226-0638

NPI assigned

Nov 2, 2020

Last updated

Nov 2, 2020By 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. Aneel Randhawa, DDSNPI 1790841633

Title

Owner

Phone

(586) 226-0638

Specialties & licenses 1

Addresses

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.

• Aneel Kaur Randhawa, D.D.S.

  • Dentist
  • Warren, MI
  • NPI 1790841633
  NPD Authorized official

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1669073227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50481 KOSS DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480446320",
            "telephone_number": "586-226-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15980 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381140",
            "telephone_number": "586-226-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 FAMILY DENTISTRY OF CLINTON TOWNSHIP,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "ANEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-226-0638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.