Organization Active NPI

All Dental PLLC

  • Dental Clinic/Center
  • Saint Clair Shores, MI
National Provider Identifier
1669194213
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALL DENTAL PLLC
Practice address
26401 Harper Ave
Saint Clair Shores, MI 48081-1905
Phone
(586) 804-7171
Fax
(586) 723-7848
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Atheer Jassim
Title
Member
Phone
(586) 804-7171

Specialties & licenses 1

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

Addresses

Primary practice location

26401 Harper Ave
Saint Clair Shores, MI 48081-1905

Mailing address

26401 Harper Ave
Saint Clair Shores, MI 48081-1905
Phone (586) 804-7171

National Provider Directory

National Provider Directory

Locations

26401 Harper Ave
Saint Clair Shores, MI 48081
Phone (586) 218-3800

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": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1669194213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26401 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811905",
            "telephone_number": "586-804-7171",
            "fax_number": "586-723-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811905",
            "telephone_number": "586-804-7171",
            "fax_number": "586-723-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "JASSIM",
        "authorized_official_first_name": "ATHEER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "586-804-7171"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.