Organization Active NPI

Painless Dental Care PLC

  • General Practice Dentistry
  • Grand Blanc, MI
National Provider Identifier
1720216724
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019158 Issued in MI
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

Updated by the provider on Aug 31, 2009

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20241125000936 MI DME Supplier - Oral Surgery - Dentist 8426470253 Practice locations: Grand Blanc, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.