Dearborn Dental Group West

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DEARBORN DENTAL GROUP WEST

Practice address

25245 Ford Rd
Dearborn, MI 48128-1050

Phone

(313) 584-3210

NPI assigned

Apr 23, 2019

Last updated

Apr 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dalal Elachi

Title

Manager

Phone

(313) 584-3210

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nader J Baydoun, DDS

  • Dentist
  • Dearborn, MI
  • NPI 1255577409
  NPD

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1790349058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25245 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281050",
            "telephone_number": "313-584-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25245 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281050",
            "telephone_number": "313-584-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN DENTAL GROUP WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "ELACHI",
        "authorized_official_first_name": "DALAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-584-3210",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1255577409",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dearborn Community Care Pharmacy LLC
• Dearborn Community Dental Center P.C.
• Dearborn Community Pharmacy LLC (independent community pharmacy)
• Dearborn Dental Care
• Dearborn Dental Group PC
• Dearborn Ear Nose and Throat Clinic
• Dearborn Family Clinic, P.C.
• Dearborn Family Dental LLC
• Dearborn Family Dentistry PC
• Dearborn Family Pharmacy

• 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 23, 2019; 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.