Comfort Dental Spa Livonia PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

2901018778 Issued in MI

Legal business name

COMFORT DENTAL SPA LIVONIA PLLC

Doing business as

livonia family smiles

Practice address

16979 Farmington Rd
Livonia, MI 48154-2946

Phone

(248) 974-2300

Fax

(248) 708-6786

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Mir Mohsin Ali Razvi

Title

Director

Phone

(248) 974-2300

Specialties & licenses 2

Addresses

Other names 1

• livonia family smiles Doing business as

Locations

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1669827812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16979 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542946",
            "telephone_number": "248-974-2300",
            "fax_number": "248-708-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16979 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542946",
            "telephone_number": "248-974-2300",
            "fax_number": "248-708-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL SPA LIVONIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "RAZVI",
        "authorized_official_first_name": "MIR MOHSIN",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-974-2300"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018778",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "livonia family smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Marie Collins, MA, LPC
• Nathanial Ramon Collins Jr.
• Sara Collins, LMSW
• Avery Grace Colvin, TLLP
• Imesshia Colvin
• Comfort Home Care, Inc.
• Comfort Prosthetics & Orthotics Inc
• Salina Commander
• Community Foot Center PC
• Community Opportunity Center

• Dentist in Livonia, MI
• Providers in Livonia, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.