Individual provider Active NPI

Sandra Lynn Makram, D.D.S.

  • Pediatric Dentistry
  • Bloomfield Hills, MI
National Provider Identifier
1679736607
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN 18182 Issued in FL
Practice address
300 E Long Lake Rd Ste 311
Great Expressions Dental Centers
Bloomfield Hills, MI 48304-2377
Phone
(248) 203-1119
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN 18182 FL Primary

Addresses

Primary practice location

300 E Long Lake Rd Ste 311
Great Expressions Dental Centers
Bloomfield Hills, MI 48304-2377

Mailing address

300 E Long Lake Rd Ste 311
Great Expressions Dental Centers
Bloomfield Hills, MI 48304-2377
Phone (248) 203-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 18182FLMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1679736607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LONG LAKE RD STE 311",
            "address_2": "GREAT EXPRESSIONS DENTAL CENTERS",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042377",
            "telephone_number": "248-203-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LONG LAKE RD STE 311",
            "address_2": "GREAT EXPRESSIONS DENTAL CENTERS",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042377",
            "telephone_number": "248-203-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKRAM",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 18182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 2008; 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.