Farmbrook Dental Group PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16156 Issued in MI

Legal business name

FARMBROOK DENTAL GROUP PC

Practice address

6400 Telegraph Road Suite 1500
Bloomfield Hills, MI 48301

Phone

(248) 855-0824

Fax

(248) 855-0873

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Edward Wolowiec, D.D.S.NPI 1245446368

Title

President/Owner/Dentist

Phone

(248) 855-0824

Specialties & licenses 4

Addresses

Locations

Practitioners 3

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

• Mark E Wolowiec, DDS

  • General Practice Dentistry
  • Southfield, MI
  • NPI 1245446368
  NPD (past) Authorized official
• Eric Kruske, DMD

  • Dentist
  • Bloomfield Hills, MI
  • NPI 1598050817
  NPD (past)
• Michael J Marderosian, DDS

  • General Practice Dentistry
  • Southfield, MI
  • NPI 1730395864
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1740214683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 TELEGRAPH ROAD SUITE 1500",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48301",
            "telephone_number": "248-855-0824",
            "fax_number": "248-855-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 TELEGRAPH ROAD SUITE 1500",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48301",
            "telephone_number": "248-855-0824",
            "fax_number": "248-855-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMBROOK DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "WOLOWIEC",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/DENTIST",
        "authorized_official_telephone_number": "248-855-0824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "8407",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "8413",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "014173",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exercise Management Systems Corp.
• Exercise Management Systems Inc. (EMS Diagnostic Services)
• Hanadi Fahs, LMSW, LCSW
• Faiz Mansour, M.D., P.C.
• Family,Love,and Faith Homecare Agency L.L.C
• Farmhouse Pilates and Rehabilitation LLC
• Jasmine Farr
• Julie Ann Fattore, DDS
• Debra Lynn Feinberg, O.D.
• Paul Charles Feinberg, O.D.

• General Practice Dentistry in Bloomfield Hills, MI
• Providers in Bloomfield Hills, 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 Mar 23, 2018; 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.