Organization Active NPI

Wang Childrens Dentistry PLLC

  • Pediatric Dentistry
  • Bloomfield Hills, MI
National Provider Identifier
1669578142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2901015559 Issued in MI
Legal business name
WANG CHILDRENS DENTISTRY PLLC
Practice address
6405 Telegraph Rd
#B
Bloomfield Hills, MI 48301-1716
Phone
(248) 647-8656
Fax
(248) 647-0402
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shufei Wang, D.D.S.NPI 1114004678
Title
Owner
Phone
(248) 312-7232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 2901015559 MI Primary

Addresses

Primary practice location

6405 Telegraph Rd
#B
Bloomfield Hills, MI 48301-1716

Mailing address

4716 Rambling CT
Troy, MI 48098-6629
Phone (248) 312-7232

Other names 1

  • BLOOMFIELD CHILDRENS DENTISTRY PLC Doing business as

National Provider Directory

National Provider Directory

Locations

6405 Telegraph Rd
Ste B
Bloomfield Hills, MI 48301
Phone (248) 647-8656

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669578142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 RAMBLING CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986629",
            "telephone_number": "248-312-7232",
            "fax_number": "248-312-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 TELEGRAPH RD",
            "address_2": "#B",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011716",
            "telephone_number": "248-647-8656",
            "fax_number": "248-647-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANG CHILDRENS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SHUFEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-312-7232",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901015559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLOOMFIELD CHILDRENS DENTISTRY PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.