Jeffrey S Selasky, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JEFFREY S SELASKY, DDS, PC

Doing business as

Petrusha Family Dentistry

Practice address

25908 Ford Rd
Dearborn HTS, MI 48127-2936

Phone

(313) 277-0050

NPI assigned

May 24, 2022

Last updated

May 24, 2022By 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

Ann Cullen

Title

Office Manager

Phone

(313) 277-0050

Specialties & licenses 1

Addresses

Other names 2

• Petrusha Family Dentistry Doing business as
• Jeffrey S Selasky, DDS, PC Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1831837400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25908 FORD RD",
            "city": "DEARBORN HTS",
            "state": "MI",
            "postal_code": "481272936",
            "telephone_number": "313-277-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25908 FORD RD",
            "city": "DEARBORN HTS",
            "state": "MI",
            "postal_code": "481272936",
            "telephone_number": "313-277-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S SELASKY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-277-0050"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@petrushafamilydentistry.com",
            "affiliation": "N",
            "address_1": "25908 Ford Rd",
            "city": "Dearborn Hts",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Petrusha Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jeffrey S Selasky, DDS, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Healthpro Medical Equipment LLC
• Lillian Drushelia Herzberg, REGISTERED NURSE
• Holistic Healer & Wellness Center Inc
• Integra Behavioral Health LLC
• Irving M Blau DDS & Richard a Kirsch DDS PC
• Kay Family Practice, PLLC
• Kiga Enterprises Inc (Visiting Angels)
• LMT Sista Home Care LLC
• Bryan Lee Lovy, RPH
• Morton Maza, DDS

• Dental Clinic/Center in Dearborn HTS, MI
• Providers in Dearborn HTS, 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 May 24, 2022; 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.