Park Dental PLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PARK DENTAL PLC

Practice address

1880 Emmons Blvd
Lincoln Park, MI 48146-3866

Phone

(313) 388-8444

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ghada Beydoun, DDSNPI 1720205651

Title

Owner

Phone

(313) 671-9353

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ghada Beydoun, DDS

  • General Practice Dentistry
  • Dearborn Heights, MI
  • NPI 1720205651
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1760167589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17843 PARKSHORE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688579",
            "telephone_number": "313-671-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 EMMONS BLVD",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463866",
            "telephone_number": "313-388-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "GHADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-671-9353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Arthur Padesky, D.D.S.
• Lisa Palmieri, RN
• Apoorva Chandrakant Pandit
• Papyrus Healthcare
• William Carl Parham, LBSW
• Sun Park, MD
• Parks Downriver Physical Therapy LLC
• Partners in Foot Health P.C.
• Abhi Patel, RPT
• Patient Choice Medical Equipment LLC

• Dentist in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.