Southfield Family Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14188 Issued in MI

Legal business name

SOUTHFIELD FAMILY DENTAL CENTER

Practice address

18800 West Ten Mile Rd
Southfield, MI 48075-2655

Phone

(248) 569-6304

Fax

(248) 569-7914

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Noah Robert Levi, DDS

Title

Dentist

Phone

(248) 569-6304

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760586408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 WEST TEN MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752655",
            "telephone_number": "248-569-6304",
            "fax_number": "248-569-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 WEST TEN MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752655",
            "telephone_number": "248-569-6304",
            "fax_number": "248-569-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHFIELD FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-569-6304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southfield City Urgent Care PC
• Southfield Dental Care P.C.
• Southfield Dental Center PC
• Southfield Dental PLLC
• Southfield Essential Care PLLC
• Southfield Family Dental Center PLLC
• Southfield Family Foot Center, P.C.
• Southfield Family Physicians, PLLC
• Southfield Family Practice PLLC
• Southfield Gastroenterology Associates PC

• General Practice Dentistry in Southfield, MI
• Providers in Southfield, 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 Aug 22, 2020; 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.