Jeffrey M. Solomon DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFREY M. SOLOMON DDS PC

Practice address

18181 W 12 Mile Rd
Lathrup Village, MI 48076-2666

Phone

(248) 557-5756

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Wendi Ward

Title

Accounts Manager

Phone

(248) 557-5756

Specialties & licenses 1

Addresses

Other names 1

• Moss Dental Excellance Former legal business name

Locations

Practitioners 2

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

• Ali Khanafer, DDS

  • Dentist
  • Warren, MI
  • NPI 1194569574
  NPD (past)
• Jordan Rabban

  • Dentist
  • Lathrup Village, MI
  • NPI 1033737374
  NPD (past)

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1801045828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 W 12 MILE RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762666",
            "telephone_number": "248-557-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 W 12 MILE RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762666",
            "telephone_number": "248-557-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M. SOLOMON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "248-557-5756"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moss Dental Excellance",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Dentistry in Lathrup Village, MI
• Providers in Lathrup Village, 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 Sep 15, 2008; 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.