Tawfiq Alkilani DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21470 Issued in MI

Legal business name

TAWFIQ ALKILANI DDS PLLC

Doing business as

Aspen Dental

Practice address

3375 S Airport Rd W
Traverse City, MI 49684-7929

Phone

(231) 486-0555

Fax

(231) 929-3903

NPI assigned

Jan 7, 2016

Organization subpart

No

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

Authorized official

Name

Jason Bertollini

Title

PRM

Phone

(866) 273-8204

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

Locations

Practitioners 3

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

• Sadef Bandvar, DDS

  • Dentist
  • Traverse City, MI
  • NPI 1730065988
  NPD (past)
• Dominic G Calek, DDS

  • Dentist
  • Traverse City, MI
  • NPI 1124381744
  NPD (past)
• Erika Kathleen Coombs, D.D.S.

  • Dentist
  • Traverse City, MI
  • NPI 1649626672
  NPD (past)

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1750747655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "866-273-8204",
            "fax_number": "315-410-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 S AIRPORT RD W",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847929",
            "telephone_number": "231-486-0555",
            "fax_number": "231-929-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAWFIQ ALKILANI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "BERTOLLINI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRM",
        "authorized_official_telephone_number": "866-273-8204"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "21470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Michelle Tamlyn, D.O.
• Tamlynn L. Evans, PLC
• Daniel Scott Tanis Jr., PTA
• Justin Tannir, MD
• Leah Ann Tatasciore, RN PHCNS-BC CBIS
• Anne P Taylor, M.D.
• Jeremy Taylor, ATC
• Nathan A Taylor
• Shelley Ann Taylor, MA, LLP
• John Gabriel Tazzi, PA

• General Practice Dentistry in Traverse City, MI
• Providers in Traverse City, 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 Jan 7, 2016; 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.