NPIMap

Organization Active NPI

Family Dentistry, PC

  • Dentist
  • Allen Park, MI
National Provider Identifier
1710151360
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FAMILY DENTISTRY, PC
Practice address
10501 Allen Rd
Suite 105
Allen Park, MI 48101-1281
Phone
(313) 383-3000
Fax
(313) 383-1631
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Bruce A Rosenblum, D.D.S.NPI 1942333539
Title
President
Phone
(313) 383-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

10501 Allen Rd
Suite 105
Allen Park, MI 48101-1281

Mailing address

10501 Allen Rd
Suite 105
Allen Park, MI 48101-1281
Phone (313) 383-3000

National Provider Directory

National Provider Directory

Locations

10501 Allen Rd
Ste 105
Allen Park, MI 48101
Phone (313) 284-8354

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1710151360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 ALLEN RD",
            "address_2": "SUITE 105",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011281",
            "telephone_number": "313-383-3000",
            "fax_number": "313-383-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 ALLEN RD",
            "address_2": "SUITE 105",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011281",
            "telephone_number": "313-383-3000",
            "fax_number": "313-383-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "ROSENBLUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-383-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.