Andrzej Lucjan Dolata, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

15316 Issued in MI

Practice address

26370 Grand River Ave
Redford, MI 48240-1463

Phone

(313) 534-3313

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Burbar Family Dentistry PLLC

  • Dental Clinic/Center
  • Redford, MI
  • NPI 1730876137
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1679581912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 BROADWAY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051876",
            "telephone_number": "734-678-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26370 GRAND RIVER AVE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401463",
            "telephone_number": "313-534-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLATA",
        "first_name": "ANDRZEJ",
        "middle_name": "LUCJAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "15316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70891190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Diggs, L.P.N
• Daniel Evan Diskin, LLBSW
• Joy Dixon, REGISTERED NURSE
• DLH Grand Enterprise LLC
• Savana Doerr, LLMSW
• Christie Donn
• Jaymi Dormaier, LMSW
• Danielle Ruth Dorsey
• Douglas a Cutcher DPM PLC
• Douglas a. Yaraschuk, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.