Ford Dental Group

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

2901021724 Issued in MI

Legal business name

FORD DENTAL GROUP

Practice address

5601 Schaefer Rd Ste 101
Dearborn, MI 48126-4713

Phone

(313) 582-4800

NPI assigned

Sep 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Aziz Moukled, D.D.S.

Title

Dentist

Phone

(519) 819-7875

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Hussein M. Abdel-Hak, D.D.S

  • General Practice Dentistry
  • Dearborn, MI
  • NPI 1669551628
  NPD (past)

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441584000000",
    "number": "1881062941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 SCHAEFER RD STE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264713",
            "telephone_number": "313-582-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 SCHAEFER RD STE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264713",
            "telephone_number": "313-582-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A",
        "authorized_official_last_name": "MOUKLED",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "519-819-7875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "2901021724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdul Rahaman Foggie
• Adam Foglesong, DO
• Foot and Ankle Specialty Clinic
• For You Home Care Agency LLC
• Ford Bio Medical Laboratory Inc.
• Ford PCR Drive Thru LLC
• Carmella Shenice Ford
• Devantez Ford
• Rala Jenice Ford, R.F
• James G Fordyce, MD

• Preferred Provider Organization in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Preferred Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; 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.