NPIMap

Organization Active NPI

Baig Dental Group, P.C.

Doing business as Gray Family Dental

  • General Practice Dentistry
  • Detroit, MI
National Provider Identifier
1710039383
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017489 Issued in MI
Legal business name
BAIG DENTAL GROUP, P.C.
Doing business as
Gray Family Dental
Practice address
12871 E Jefferson Ave
Ste. C
Detroit, MI 48215-2754
Phone
(313) 822-4200
Fax
(313) 822-0944
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Mirza M Baig, D.D.S.NPI 1396706347
Title
President
Phone
(248) 755-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901017489 MI Primary

Addresses

Primary practice location

12871 E Jefferson Ave
Ste. C
Detroit, MI 48215-2754

Mailing address

23800 Orchard Lake Rd
Ste. 106
Farmington Hills, MI 48336-2560
Phone (248) 755-5700

Other names 1

  • Gray Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baig Dental Group PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12871 E Jefferson Ave
Ste C
Detroit, MI 48215
Phone (313) 822-4200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710039383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 ORCHARD LAKE RD",
            "address_2": "STE. 106",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362560",
            "telephone_number": "248-755-5700",
            "fax_number": "248-471-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12871 E JEFFERSON AVE",
            "address_2": "STE. C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152754",
            "telephone_number": "313-822-4200",
            "fax_number": "313-822-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIG DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-755-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gray Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, 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.