NPIMap

Organization Active NPI

Ali a Sobh DDS PC

  • General Practice Dentistry
  • Dearborn, MI
National Provider Identifier
1780937425
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MI2901017157 Issued in MI
Legal business name
ALI A SOBH DDS PC
Practice address
14639 Ford Rd
Dearborn, MI 48126-3173
Phone
(313) 582-1960
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Ali Sobh, DDSNPI 1376625558
Title
Owner
Phone
(313) 582-1960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X MI2901017157 MI Primary

Addresses

Primary practice location

14639 Ford Rd
Dearborn, MI 48126-3173

Mailing address

14639 Ford Rd
Dearborn, MI 48126-3173
Phone (313) 582-1960

Other names 1

  • ADVANCED DENTAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

14639 Ford Rd
Dearborn, MI 48126
Phone (313) 460-7322

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1780937425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14639 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263173",
            "telephone_number": "313-582-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14639 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263173",
            "telephone_number": "313-582-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI A SOBH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "SOBH",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-582-1960",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "MI2901017157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.