Michigan Gentle Dentists PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHIGAN GENTLE DENTISTS PLLC

Practice address

13710 Michigan Ave Ste B
Dearborn, MI 48126-3520

Phone

(440) 454-4530

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Rami Mouded, DDS/MPH

Title

Dentist

Phone

(440) 454-4530

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1740976828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31088 BELLERIVE CT",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451893",
            "telephone_number": "440-454-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 MICHIGAN AVE STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263520",
            "telephone_number": "440-454-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN GENTLE DENTISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MOUDED",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "440-454-4530",
        "authorized_official_credential": "DDS/MPH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.