Deluxe Dental Associates #8 Roseville PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DELUXE DENTAL ASSOCIATES #8 ROSEVILLE PLLC

Doing business as

Deluxe Dental

Practice address

16211 E 11 Mile Rd
Roseville, MI 48066-4334

Phone

(810) 820-7766

Fax

(810) 243-0454

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Amber Mikha-Kizy, DDS

Title

Owner

Phone

(810) 820-7766

Specialties & licenses 1

Addresses

Other names 1

• DELUXE DENTAL Doing business as

Locations

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1699555235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 S DORT HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072045",
            "telephone_number": "810-820-7766",
            "fax_number": "810-243-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16211 E 11 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664334",
            "telephone_number": "810-820-7766",
            "fax_number": "810-243-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE DENTAL ASSOCIATES #8 ROSEVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MIKHA-KIZY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-820-7766",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELUXE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael E Dean
• Mitchell Connor Deansmyth, OTR
• Katrina Maria Decanini, OTR/L, LSVT
• Mazin Mohi Deen, M.D.
• Anthony Delise III, MD
• Dental Health Group of Michigan
• Dentalworks
• Elizabeth Cornelia Derooy, PH.D.
• Abigail Elizabeth Devine, APRN, CNM
• Andrea Elizabeth Dewaele, LPTA

• General Practice Dentistry in Roseville, MI
• Providers in Roseville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.