Active NPI
Painless Dental Care PLC
- General Practice Dentistry
- Grand Blanc, MI
National Provider Identifier
1720216724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901019158
- Legal business name
- PAINLESS DENTAL CARE PLC
- Practice address
- 8305 S Saginaw St
Suite 9
Grand Blanc, MI 48439-1894 - Phone
- (810) 344-9928
- Fax
- (810) 344-9936
- NPI assigned
- Jun 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Asma Abdulrazzak
- Title
- Dentist
- Phone
- (810) 247-0921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901019158 | MI | Primary |
Addresses
Primary practice location
8305 S Saginaw St
Suite 9
Grand Blanc, MI 48439-1894
Mailing address
PO Box 1004
Grand Blanc, MI 48480-4004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241125000936 | MI | DME Supplier - Oral Surgery - Dentist | 8426470253 | Practice locations: Grand Blanc, MI |
National Provider Directory
National Provider DirectoryLocations
8305 S Saginaw St
Ste 9
Grand Blanc, MI 48439
Phone (810) 344-9928
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Grand Blanc, MI
- NPI 1871881805
-
- General Practice Dentistry
- Grand Blanc, MI
- NPI 1619557550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251676800000",
"number": "1720216724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1004",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484804004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8305 S SAGINAW ST",
"address_2": "SUITE 9",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484391894",
"telephone_number": "810-344-9928",
"fax_number": "810-344-9936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAINLESS DENTAL CARE PLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-29",
"last_updated": "2009-08-31",
"status": "A",
"authorized_official_last_name": "ABDULRAZZAK",
"authorized_official_first_name": "ASMA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "810-247-0921",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901019158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.